Anesthetic management of a patient with insulinoma
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 2
Abstract
Insulinomas are an uncommon cause for recurrent hypoglycemia. Surgical resection is the definitive treatment. We present a case of a36-year-old male patient diagnosed with insulinoma and right parathyroid adenoma who had history of recurrent hypoglycemic attacks and giddiness. Laparoscopic enucleation of the tumor was undertaken. Perioperative management of blood sugar in these patients is of utmost importance. As anesthesiologists, our target is to prevent severe hypoglycemic episodes which may lead to permanent neurological damage and severe hyperglycemia post procedure which has to be managed by titrating the dose of insulin and dextrose
Authors and Affiliations
Sanil R Madkaiker, Pramod V Bhale, Nagraju Gaddam, Namrata Patil
Study of seasonal prevalence of dengue fever and it’s management according to the WHO guidelines (2012)
Background: Dengue is most rapidly spreading mosquito borne viral disease of mankind, with increase in global incidence over last five decades. According to WHO 2012 criteria it is classified as Dengue fever, Dengue with...
Efficacy of I-gel laryngeal mask airways in mechanically ventilated patients
Background: I-gel is a new single use, non-inflatable supraglottic device for both spontaneous and controlled ventilation. It mirrors the laryngeal anatomy design. A supraglottic airway without an inflatable cuff has pot...
The efficacy of two different doses of gabapentin (300mg and 600mg) along with NSAID (diclofenac transdermal patch 100mg) in postoperative pain management following abdominal hysterectomy
Context: Gabapentin, an antiepileptic drug has a role in acute postoperative pain management due to its anti hyperalgesic property. Pre-emptive analgesia is the recent concept in multi modal pain management. The purpose...
Sphenopalatine ganglion radiofrequency ablation for management of atypical trigeminal neuralgia
A 47 year old female patient came with left sided orofacial pain resistant to routine medications with aggravating factors which was treated initially with gasserian ganglion RFA. The procedure outcome did not relieved p...
Comparison of anaesthetic efficacy of nalbuphine and dexmedetomidine as an adjuvant to ropivacaine and lignocaine in supraclavicular block for upper limb surgeries
Background: Brachial plexus block provides an useful alternative to general anaesthesia for upper limb surgeries. The block characteristics of dexmedetomidine and nalbuphine as adjuvants to ropivacaine, a newly emerging...