Anesthesia for an Insulinoma Case .
10.4097/kjae.1979.12.3.280
- Author:
Hyun Sook LEE
1
;
Chung Ho SUH
;
Dong Ai AN
;
Sang Ho LIM
;
Jung Soon SHIN
Author Information
1. Department of Anesthesiology, College of Medicine, Korea University, Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Adenoma, Islet Cell;
Adrenergic beta-Antagonists;
Anesthesia*;
Anesthetics;
Blood Glucose;
Glucose;
Humans;
Hyperglycemia;
Hyperinsulinism;
Hypoglycemia;
Infusions, Intravenous;
Insulin;
Insulinoma*;
Pancreas
- From:Korean Journal of Anesthesiology
1979;12(3):280-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hyperinsulinism caused by a functioning islet cell tumor of the pancreas is an uncommon but well established metabolic entity which can usually be diagnosed accurately. We treated a patient with functioning insulinoma recently. The outline of the particular management given for the course of the anesthesia of the patient was as follows: 1) Control of blood glucose a) pre- and intraoperative hypoglycemia; Glucose was administered through intravenous drip or orally. b) postoperative transient hyperglycemia; Insulin was administered if necessary and a small amount of glucose uptake, occurred. 2) Anesthetics, and supplemental drugs Drugs with no or little effect in increasing blood glucose were used. 3) Beta-adrenergic blockers These drugs were not used in the hypoglycemic state because of potentiating insulin activity.
