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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 2  |  Page : 202-205

Management of bronchial carcinoid: An anaesthetic challenge


Department of Anaesthesiology and Critical Care, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Prasoon Gupta
A-119, Raj Park, S. P. Road, Nangloi, New Delhi - 110 086
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.130830

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Carcinoid tumours pose a great challenge to anaesthesiologist, especially if carcinoid syndrome is present. We report peri-operative management of a patient with carcinoid syndrome who underwent upper lobectomy. Pre-operative optimisation for 10 days before surgery with injection octreotide and administration on the day of surgery as per guidelines was followed (North American Neuroendocrine Tumour Society guidelines). Our main goals were to prevent mediator release, avoidance of triggering factors and management of peri-operative carcinoid crisis. During tumour handling patient developed carcinoid crisis which was effectively treated with intravenous bolus octreotide and increasing rate of infusion.


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