CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Monteith, K.
Right arrow Articles by Roaseg, O. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Monteith, K.
Right arrow Articles by Roaseg, O. P.

Canadian Journal of Anesthesia, Vol 37, 349-352, Copyright © 1990 by Canadian Anesthesiologists' Society

ARTICLES

Epidural anaesthesia for transurethral resection of the prostate in a patient with carcinoid syndrome

K Monteith and OP Roaseg
Department of Anaesthesia, Ottawa Civic Hospital, Ontario.

The anaesthetic management of a 63-year-old patient with carcinoid syndrome presenting for transurethral resection of the prostate (TURP) is described. Before surgery antibradykinin, antiserotonin and antihistamine drugs were used in addition to SMS 201-995, a long-acting somatostatin analogue, to prevent the intraoperative release of hormones associated with this syndrome. Several techniques of general anaesthesia have achieved successful patient outcomes. Monitoring included pulse oximetry and radial artery cannulation. After infusion of Ringer's lactate, 750 ml, and 25 per cent albumin, 150 ml, an incremental epidural block with xylocaine two per cent without adrenaline was administered to achieve ideal operating conditions without any change in haemodynamic variables or oxygen haemoglobin saturation. Epidural anaesthesia seems to be a safe alternative to general anaesthesia in patients with carcinoid syndrome presenting for TURP.


This article has been cited by other articles:


Home page
 Br J AnaesthHome page
P. A. Farling and A. K. Durairaju
Remifentanil and anaesthesia for carcinoid syndrome
Br. J. Anaesth., June 1, 2004; 92(6): 893 - 895.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
S. Orbach-Zinger, R. Lombroso, and L. A. Eidelman
Uneventful spinal anesthesia for a patient with carcinoid syndrome managed with long-acting octreotide: [Une rachianesthesie sans incident realisee avec l'octreotide a action prolongee chez un patient atteint d'un syndrome carcinoide]
Can J Anesth, August 1, 2002; 49(7): 678 - 681.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
M. A. O. Kinney, M. E. Warner, D. M. Nagorney, J. Rubin, D. R. Schroeder, P. M. Maxson, and M. A. Warner
Perianaesthetic risks and outcomes of abdominal surgery for metastatic carcinoid tumours{dagger}
Br. J. Anaesth., September 1, 2001; 87(3): 447 - 452.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
A. Holdcroft
Hormones and the gut
Br. J. Anaesth., July 1, 2000; 85(1): 58 - 68.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1990 by the Canadian Anesthesiologists' Society.