Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist

<p><strong>Introduction:</strong></p><p>Anesthesia for juvenile angiofibroma is one of the most complex interventions within otolaryngology, since incoercible bleeding causes acute hypovolemia, which occurs in a short period and leads to hypovolemic shock and death if n...

Full description

Bibliographic Details
Main Authors: Idoris Cordero Escobar, Areli Pérez Cue
Format: Article
Language:Spanish
Published: Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) 2019-05-01
Series:Revista Cubana de Anestesiología y Reanimación
Online Access:http://revanestesia.sld.cu/index.php/anestRean/article/view/566
_version_ 1818827005468082176
author Idoris Cordero Escobar
Areli Pérez Cue
author_facet Idoris Cordero Escobar
Areli Pérez Cue
author_sort Idoris Cordero Escobar
collection DOAJ
description <p><strong>Introduction:</strong></p><p>Anesthesia for juvenile angiofibroma is one of the most complex interventions within otolaryngology, since incoercible bleeding causes acute hypovolemia, which occurs in a short period and leads to hypovolemic shock and death if not treated properly.</p><p><strong>Objective:</strong></p><p>To carry out an update about the perioperative period of anesthesia in juvenile angiofibroma.</p><p><strong>Development:</strong></p><p>Blood losses must be minimized at all costs. The best association was induced hypotension, hypovolemic hemodilution, and autologous blood predeposit, with angiography and selective arterial embolization of the tumor.</p><p><strong>Conclusions:</strong></p><p>Surgical removal of juvenile angiofibroma is a high-risk intervention. The work team is an essential element. The association of induced hypotension, hypovolemic hemodilution, and autologous blood predeposit are the fundamental pillars for the best evolution of these patients.</p><p><strong>Keywords</strong>:  juvenile angiofibroma; anesthesia; blood-saving methods; complications.</p>
first_indexed 2024-12-19T00:36:41Z
format Article
id doaj.art-9e71521b52884c61baee53ccecd8da64
institution Directory Open Access Journal
issn 1726-6718
language Spanish
last_indexed 2024-12-19T00:36:41Z
publishDate 2019-05-01
publisher Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
record_format Article
series Revista Cubana de Anestesiología y Reanimación
spelling doaj.art-9e71521b52884c61baee53ccecd8da642022-12-21T20:44:45ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182019-05-01192525Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologistIdoris Cordero Escobar0Areli Pérez Cue1Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.<p><strong>Introduction:</strong></p><p>Anesthesia for juvenile angiofibroma is one of the most complex interventions within otolaryngology, since incoercible bleeding causes acute hypovolemia, which occurs in a short period and leads to hypovolemic shock and death if not treated properly.</p><p><strong>Objective:</strong></p><p>To carry out an update about the perioperative period of anesthesia in juvenile angiofibroma.</p><p><strong>Development:</strong></p><p>Blood losses must be minimized at all costs. The best association was induced hypotension, hypovolemic hemodilution, and autologous blood predeposit, with angiography and selective arterial embolization of the tumor.</p><p><strong>Conclusions:</strong></p><p>Surgical removal of juvenile angiofibroma is a high-risk intervention. The work team is an essential element. The association of induced hypotension, hypovolemic hemodilution, and autologous blood predeposit are the fundamental pillars for the best evolution of these patients.</p><p><strong>Keywords</strong>:  juvenile angiofibroma; anesthesia; blood-saving methods; complications.</p>http://revanestesia.sld.cu/index.php/anestRean/article/view/566
spellingShingle Idoris Cordero Escobar
Areli Pérez Cue
Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
Revista Cubana de Anestesiología y Reanimación
title Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
title_full Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
title_fullStr Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
title_full_unstemmed Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
title_short Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist
title_sort anesthesia in juvenile angiofibroma an challenge for the anesthesiologist
url http://revanestesia.sld.cu/index.php/anestRean/article/view/566
work_keys_str_mv AT idoriscorderoescobar anesthesiainjuvenileangiofibromaanchallengefortheanesthesiologist
AT areliperezcue anesthesiainjuvenileangiofibromaanchallengefortheanesthesiologist