prikaz prve stranice dokumenta Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
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Scientific paper - Original scientific paper
Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
Surgical Neurology International, 9 (2018); 200. https://doi.org/doi:10.4103/sni.sni_159_18
Stambolija, Vasilije; Miklić Bublić, Martina; Lozić, Marin; Paladino, Josip; Šcap, Miroslav

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Stambolija, V., Miklić Bublić, M., Lozić, M., Paladino, J. & Šcap, M. (2018). Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics. Surgical Neurology International, 9., 200. doi: doi:10.4103/sni.sni_159_18

Stambolija, Vasilije, et al. "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics." Surgical Neurology International, vol. 9, 2018, p. 200. https://doi.org/doi:10.4103/sni.sni_159_18

Stambolija, Vasilije, Martina Miklić Bublić, Marin Lozić, Josip Paladino and Miroslav Šcap. "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics." Surgical Neurology International 9 (2018): 200. https://doi.org/doi:10.4103/sni.sni_159_18

Stambolija, V., et al. (2018) 'Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics', Surgical Neurology International, 9, p. 200. doi: doi:10.4103/sni.sni_159_18

Stambolija V, Miklić Bublić M, Lozić M, Paladino J, Šcap M. Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics. Surgical Neurology International [Internet]. 2018 October 03 [cited 2024 December 01];9:200. doi: doi:10.4103/sni.sni_159_18

V. Stambolija, M. Miklić Bublić, M. Lozić, J. Paladino and M. Šcap, "Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics", Surgical Neurology International, vol. 9, p. 200, October 2018. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:651131. [Accessed: 01 December 2024]

Metadata
Title (english)Etomidate in neuroanesthesia for aneurysmal clipping in child with confirmed allergies to general anesthetics
AuthorVasilije Stambolija
AuthorMartina Miklić Bublić
AuthorMarin Lozić
AuthorJosip Paladino
AuthorMiroslav Šcap
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
BACKGROUND: Etomidate may be given in continuous infusion for maintenance of general anesthesia, although that practice is rarely seen due to beliefs that it has possibility of interfering with cortisol synthesis. However, etomidate is sometimes preferable choice as it has least influence on hemodynamics and rarely causes allergic reactions. ----- CASE DESCRIPTION: We describe a case of 13-year-old boy with aneurysm of left middle cerebral artery, planned for aneurysmal clipping, and previously treated for ruptured aneurysm of right middle cerebral artery. As he was tested and proved allergic to most of the anesthetic drugs, and stable hemodynamic conditions were of most importance during planned neurosurgery, general anesthesia was maintained with etomidate infusion. He was prepared with metilprednisolon, antihistaminic, and ranitidine before the surgery. Cortisol and adrenocorticotropic hormone levels were measured on three consecutive postoperative days. Only cortisol value, in the morning the day after the surgery, was below reference range, with the values back to normal until that evening. He was dismissed from the intensive care unit with Glasgow Coma Score 15. ----- CONCLUSION: Etomidate may be a choice for neuroanesthesia in specific group of people. We have good experience with our algorithm for continuous infusion of etomidate, with serum cortisol values in the reference range, if corticosteroids were not given before the surgery. Administration of metilprednisolon may diminish influence of perioperative stress on cortisol synthesis inhibition.
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleSurgical Neurology International
Numberingvol. 9, p. 200
p-ISSN2152-7806
DOIhttps://doi.org/doi:10.4103/sni.sni_159_18
URN:NBNurn:nbn:hr:105:651131
Publication2018-10-03
Document URLhttp://doi.org/10.4103/sni.sni_159_18
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-28 10:15:57