Anesthetic considerations in the multiple endocrine neoplasia syndromes Journal Article
| Author: | Grant, F. |
| Article Title: | Anesthetic considerations in the multiple endocrine neoplasia syndromes |
| Abstract: | Purpose of review: The multiple endocrine neoplasia (MEN) syndromes present a diverse array of challenges to the anesthesiologist. The tumors and their effects are often underdiagnosed and potentially discovered only when the patient is undergoing surgery for either a component of one of the syndromes or another procedure altogether. This can present the anesthesiologist with a life-threatening situation in the operating room. A thorough understanding of the syndromes, as well as management strategies, will enable the anesthesiologist to handle these patients. Recent findings: Advances in the pharmacologic armamamentarium available to physicians have enabled patients with MEN, particularly those with the carcinoid syndrome or pheochromocytoma, to undergo surgery safely, with minimal morbidity and mortality. Summary: Awareness of the components of the MEN syndromes, as well as careful preoperative preparation, paves the way for a smooth anesthetic and postoperative course in these patients. © 2005 Lippincott Williams & Wilkins. |
| Keywords: | review; postoperative period; preoperative evaluation; aprotinin; propofol; steroid; pethidine; carcinoid; octreotide; morphine; lidocaine; corticosteroid; pheochromocytoma; parathyroid tumor; beta adrenergic receptor blocking agent; dopamine; operating room; bronchospasm; antihistaminic agent; phentolamine; fentanyl; noradrenalin; etomidate; ketamine; anesthesia; benzodiazepine; insulinoma; pancreas islet cell tumor; muscle relaxant agent; beta adrenergic receptor stimulating agent; thiopental; thyroid medullary carcinoma; vecuronium; phenylephrine; carcinoid syndrome; theophylline; ipratropium bromide; hypophysis tumor; phenoxybenzamine; gastrinoma; glucagonoma; somatostatinoma; vipoma; acromegaly; guanethidine; adrenalin; cyproheptadine; amiodarone; bromocriptine; sipple syndrome; multiple endocrine neoplasia; ketanserin; barbituric acid derivative; nifedipine; inhalation anesthetic agent; doxazosin; dopamine receptor stimulating agent; metirosine; multiple endocrine neplasia; atracurium; intravenous anesthetic agent; mivacurium; nitroprusside sodium; pancuronium; pergolide; prazosin; rocuronium; suxamethonium; tubocurarine chloride; adrenal cortex insufficiency; prolactinoma |
| Journal Title: | Current Opinion in Anaesthesiology |
| Volume: | 18 |
| Issue: | 3 |
| ISSN: | 0952-7907 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2005-06-01 |
| Start Page: | 345 |
| End Page: | 352 |
| Language: | English |
| PROVIDER: | scopus |
| PUBMED: | 16534361 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 6" - "Export Date: 24 October 2012" - "CODEN: COAEE" - "Source: Scopus" |
