THE PROPHYLACTIC USE OF OCTREOTIDE IN A PATIENT WITH OVARIAN CARCINOID AND VALVULAR HEART-DISEASE

被引：22

作者：

WATSON, JT ^{[1
]}

BADNER, NH ^{[1
]}

ALI, MJ ^{[1
]}

机构：

[1] UNIV WESTERN ONTARIO HOSP,DEPT ANAESTHESIA,POB 5339,LONDON N6A 5A5,ONTARIO,CANADA

来源：

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | 1990年 / 37卷 / 07期

关键词：

hormones: somatostatin analogue; octreotide; serotonin: carcinoid syndrome; surgery: ovarian carcinoid; syndromes: carcinoid;

D O I：

10.1007/BF03006540

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

This case report describes the use of octreotide, a long-acting somatostatin analogue, in the management of a patient with an ovarian carcinoid tumour and severe cardiac valvular disease. This patient underwent laparotomy and tumour resection without complication. Anaesthesia was induced with midazolam, fentanyl, and vecuronium, and maintained with isoflurane as well as additional fentanyl and vecuronium. However, we feel that it was the use of octreotide that prevented a life-threatening crisis intraoperatively, and recommend its use in patients with carcinoid syndrome undergoing anaesthesia and surgery. © 1990 Canadian Anesthesiologists.

引用

页码：798 / 800

页数：3

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