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- Title
Anaesthesia for large Wilms' tumour (nephroblastoma).
- Authors
Osazuwa, Maryrose O.; Desalu, Ibironke
- Abstract
Wilms' tumour (nephroblastoma) is the most common childhood intra-abdominal malignancy. It may grow very large with late presentation in resource poor settings. Anaesthesia for surgical removal of this tumour requires a good knowledge of the patient: size of tumour, extent of tumour spread, treatment so far, current medications, associated syndromes or co-existing diseases and present physical condition. Intraoperative haemodynamic instability, large fluid shifts and massive blood loss may occur. Safe anaesthesia requires adequate preparation, optimisation and vigilant intraoperative monitoring.
- Subjects
PEDIATRIC anesthesia; DIFFERENTIAL diagnosis; ANTINEOPLASTIC agents; POSTOPERATIVE care; NEPHROBLASTOMA; TUMORS in children; TUMOR classification; ABDOMINAL tumors; INTRAOPERATIVE monitoring; INDUCTION chemotherapy; DISEASE risk factors; SYMPTOMS
- Publication
Update in Anaesthesia, 2023, Vol 37, p67
- ISSN
1353-4882
- Publication type
Article
- DOI
10.1029/WFSA-D-19-00023