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Severe intraoperative hypertension after induction of anesthesia in a child with a neuroblastoma
Journal article   Peer reviewed

Severe intraoperative hypertension after induction of anesthesia in a child with a neuroblastoma

Hiromi Kako, Thomas Taghon, Giorgio Veneziano, Jennifer H Aldrink, Rose Ayoob and Joseph D Tobias
Journal of anesthesia, Vol.27(3), pp.464-467
06/2013
DOI: 10.1007/s00540-012-1544-x
PMID: 23292755

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Abstract

Neuroblastomas are the most common, non-central nervous system tumor of childhood. Similar to pheochromocytomas, they are derived from neural crest cells and therefore retain the potential to synthesize catecholamines. Unlike pheochromocytomas, however, perioperative issues related to blood pressure instability with hypertension are uncommon. We report details of a 3-year-old child with a neuroblastoma who developed severe hypertension and end-organ effects after induction of anesthesia. The association of such problems with neuroblastoma is reviewed and options for perioperative care presented.
Anesthesia - adverse effects Blood Pressure - drug effects Child, Preschool Humans Hypertension - chemically induced Intraoperative Period Neuroblastoma - surgery

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