Article citationsMore>>
Mulder, H.D., Augustijn, Q.J., Van Woensel, J.B., Bos, A.P., Juffermans, N.P. and Wöstenvan Asperen, R.M. (2015) Incidence, Risk Factors, and Outcome of Transfusion-Related Acute Lung Injury in Critically Ill Children: A Retrospective Study. Journal of Critical Care, 30, 55-59.
https://doi.org/10.1016/j.jcrc.2014.10.005
has been cited by the following article:
-
TITLE:
Neuroblastoma in Children: Intraoperative Goal Directed Therapy, Intraoperative and Postoperative Outcomes
AUTHORS:
Claudine Kumba
KEYWORDS:
Neuroblastoma, Children, Intraoperative Goal Directed Therapies, Postoperative Outcomes
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.11 No.4,
December
3,
2021
ABSTRACT: Background: Neuroblastoma is the most common tumor in children. Anesthetic management can be challenging due to the localization and catecholamine-secreting characteristics of the tumor. We undertook a secondary analysis in a previous study to describe patients who underwent neuroblastoma resection. Objective: To describe intraoperative and postoperative outcomes in patients who underwent neuroblastoma resection and to propose optimal intraoperative management for postoperative outcome improvement. Methods: This was a secondary analysis of children who underwent neuroblastoma resection in the initial retrospective study. Results: There were 16 patients with a mean age of 39.3 ± 22.1 months. Seven (43.8%) patients presented with intraoperative or postoperative complications. One (6.3%) patient had intraoperative broncho-laryngospasm and difficult intubation. Two (12.5%) patients had intraoperative hemorrhagic shock. One patient (6.3%) had postoperative renal failure. Two patients (12.5%) had postoperative respiratory failure, and 3 (18.8%) patients had postoperative cardiocirculatory failure. One (6.3%) had postoperative pulmonary sepsis and septicemia. Thirteen (81.3%) patients were intraoperatively transfused. There was no in-hospital mortality. Conclusion: In this cohort, 43.8% of the patients had intraoperative and or postoperative complications in terms of organ dysfunction or sepsis. 81.3% of the patients received intraoperative transfusion. Neuroblastoma surgery can be a challenging situation where cardiovascular instability, high blood loss and transfusion requirements can be encountered. Consequently, preoperative preparation and optimal intraoperative management with validated tools in children could be necessary for a better postoperative outcome in this surgical setting.
Related Articles:
-
Kayo Sugiyama, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Atomu Tajima, Rokuki Kiyosawa, Katsuhiko Matsuyama
-
Mercedes Villanueva Judkins, Frederick E. Barr, Bradly Strohler, Theresa M. Shalaby, Neal R. Patel, John V. Williams
-
Abdel Mumin Sid Ahmed, Nusaiba Hassan Mohamed Eltahir
-
Eyram Makafui Yoan Yawo Amekoudi, Kossi Akomola Sabi, Marcel David Keoula, Badomta Dolaama, Sarakawabalo Assenouwe, Tabana Mouzou
-
Musheng Li, Lini Chen