1
|
ELHoshy HS, ELBardan IM. Comparison between different anaesthesia techniques for protecting renal function in children undergoing radical nephrectomy. EGYPTIAN JOURNAL OF ANAESTHESIA 2022. [DOI: 10.1080/11101849.2022.2092301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
- Hassan Saeed ELHoshy
- Lecturer of Anaesthesia and Surgical Intensive Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Islam Mohamed ELBardan
- Lecturer of Anaesthesia and Surgical Intensive Care Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| |
Collapse
|
2
|
Grosinger L, Salik I, Mehta B. Infantile Congenital Mesoblastic Nephroma Leading to Multi-Systemic End-Organ Disease. Cureus 2022; 14:e30513. [PMID: 36415355 PMCID: PMC9675395 DOI: 10.7759/cureus.30513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2022] [Indexed: 06/16/2023] Open
Abstract
Congenital mesoblastic nephroma (CMN) is a rare infantile abdominal tumor that is highly curable with early surgical intervention. However, chronic, unrecognized tumor burden can cause significant compression of local vascular and solid structures, resulting in multi-systemic end-organ dysfunction. In this case report, we describe the effects of chronic abdominal compartment syndrome in an infant due to a solid renal tumor and its anesthetic implications.
Collapse
Affiliation(s)
- Liana Grosinger
- Department of Anesthesiology, Westchester Medical Center, Valhalla, USA
| | - Irim Salik
- Department of Anesthesiology, Westchester Medical Center, Valhalla, USA
| | - Bhupen Mehta
- Department of Anesthesiology, Westchester Medical Center, Valhalla, USA
| |
Collapse
|
3
|
Anand R, Bagchi D, Palraj N. Nephroblastoma cavoatrial tumor thrombus-A challenge to anesthesiologist. J Anaesthesiol Clin Pharmacol 2022; 38:686-688. [PMID: 36778827 PMCID: PMC9912892 DOI: 10.4103/joacp.joacp_59_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 03/20/2021] [Accepted: 04/09/2021] [Indexed: 12/31/2022] Open
Affiliation(s)
- Rajan Anand
- Department of Anesthesiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashanthi Gram, Puttaparthi, Andhra Pradesh, India
| | - Debadas Bagchi
- Department of Anesthesiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashanthi Gram, Puttaparthi, Andhra Pradesh, India
| | - Nishita Palraj
- Department of Anesthesiology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashanthi Gram, Puttaparthi, Andhra Pradesh, India
| |
Collapse
|
4
|
Miura H, Kawana S, Sugino S, Kikuchi C, Yamauchi M. Successful management of an infant with hypertensive heart failure associated with Wilms' tumor: a case report. JA Clin Rep 2020; 6:12. [PMID: 32056027 PMCID: PMC7018917 DOI: 10.1186/s40981-020-00318-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Accepted: 02/04/2020] [Indexed: 01/30/2023] Open
Abstract
Background Wilms’ tumor with hyperreninemia may result in critical cardiovascular decompensation. We report a case of severe hypertensive heart failure followed by tumor resection in a 3-month-old infant with Wilms’ tumor. Case presentation A 3-month-old girl was admitted to the intensive care unit for Wilms’ tumor with hypertension and hypoxia. Her systolic blood pressure was 110 mmHg, and her SpO2 was 92%. She presented with severe hypertensive heart failure and received mechanical ventilation and antihypertensive therapy for hypertension and heart failure. An alpha 2-adrenergic receptor agonist was used for sedation as part of her antihypertensive therapy. On hospital day 16, nephrectomy with tumor resection was performed under general anesthesia. Her systolic blood pressure did not vary more than 20 mmHg during surgery due to appropriate preoperative management. Hemodynamic collapse did not occur. Conclusions The highlight of this case report is the successful management of an infant with Wilms’ tumor, particularly with respect to preoperative hemodynamic control and sedation.
Collapse
Affiliation(s)
- Hiroko Miura
- Department of Anesthesia, Miyagi Children's Hospital, 3-17, Ochiai 4, Aoba-ku, Sendai, Miyagi, 989-3126, Japan. .,Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan.
| | - Shin Kawana
- Department of Anesthesia, Miyagi Children's Hospital, 3-17, Ochiai 4, Aoba-ku, Sendai, Miyagi, 989-3126, Japan
| | - Shigekazu Sugino
- Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan
| | - Chika Kikuchi
- Department of Anesthesia, Miyagi Children's Hospital, 3-17, Ochiai 4, Aoba-ku, Sendai, Miyagi, 989-3126, Japan
| | - Masanori Yamauchi
- Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan
| |
Collapse
|
5
|
Patino M, Chandrakantan A. Midgestational Fetal Procedures. CASE STUDIES IN PEDIATRIC ANESTHESIA 2019:197-201. [DOI: 10.1017/9781108668736.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
6
|
Abraham M, Samuel M, Mathew M. Wilms tumour with intracardiac extension - multimodal approach to a challenging case. Indian J Anaesth 2016; 60:216-8. [PMID: 27053789 PMCID: PMC4800942 DOI: 10.4103/0019-5049.177884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Mallie Abraham
- Department of Anaesthesia and Critical Care, Lakeshore Hospital and Research Centre, Kochi, Kerala, India
| | - Mathai Samuel
- Department of Anaesthesia and Critical Care, Lakeshore Hospital and Research Centre, Kochi, Kerala, India
| | - Mohan Mathew
- Department of Anaesthesia and Critical Care, Lakeshore Hospital and Research Centre, Kochi, Kerala, India
| |
Collapse
|
7
|
Latham GJ, Greenberg RS. Anesthetic considerations for the pediatric oncology patient--part 3: pain, cognitive dysfunction, and preoperative evaluation. Paediatr Anaesth 2010; 20:479-89. [PMID: 20337952 DOI: 10.1111/j.1460-9592.2010.03261.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In part three of this three-part review, we continue with discussion of the effects of tumor and its therapy as they impact neurocognitive functioning, psychosocial issues of the patient and family, and the mechanisms and experience of pain in the child with cancer. A discussion of preanesthetic testing and evaluation in this patient population is next presented for the reader, focusing on the factors which pose the commonest and greatest risks to the child undergoing surgery. Lastly, an algorithmic approach to evaluating and managing key components of the medical history of pediatric patients is presented.
Collapse
Affiliation(s)
- Gregory J Latham
- Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA 98105, USA.
| | | |
Collapse
|
8
|
Abstract
PURPOSE OF REVIEW We will review the 2005 and 2006 literature on pediatric genitourinary tumors. RECENT FINDINGS Survival continues to improve for primary renal, bladder/prostate and testicular tumors in childhood. The addition of more intensive chemotherapy for anaplastic histology disease, recognition of loss of heterozygosity for chromosomes 1p and 16q as an adverse prognostic factor in favorable histology Wilms' tumor, and the utilization of molecular markers to better characterize all renal tumors will better enable individualized therapy. Recognition and treatment of anaplastic histology and bilateral Wilms' tumor remains a challenge. In rhabdomyosarcoma, genitourinary site and embryonal histology confer a relatively favorable prognosis. SUMMARY Advances in molecular oncology, diagnostic imaging, surgical approaches and long-term follow-up of childhood cancer survivors drive risk-stratified therapy in pediatric genitourinary tumors.
Collapse
Affiliation(s)
- Sharon M Castellino
- Department of Pediatrics, Hematology/Oncology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA.
| | | |
Collapse
|