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Severe intraoperative hypertension after induction of anesthesia in a child with a neuroblastoma

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Abstract

Neuroblastomas are the most common, non-central nervous system tumor of childhood. Similar to pheochromocytomas, they are derived from neural crest cells and therefore retain the potential to synthesize catecholamines. Unlike pheochromocytomas, however, perioperative issues related to blood pressure instability with hypertension are uncommon. We report details of a 3-year-old child with a neuroblastoma who developed severe hypertension and end-organ effects after induction of anesthesia. The association of such problems with neuroblastoma is reviewed and options for perioperative care presented.

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Authors and Affiliations

  1. Departments of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH, 43205, USA

    Hiromi Kako

  2. Departments of Anesthesiology and Pain Medicine, Nationwide Children’s Hospital and the Ohio State University, 700 Children’s Drive, Columbus, OH, 43205, USA

    Thomas Taghon, Giorgio Veneziano & Joseph D. Tobias

  3. Department of Pediatric Surgery, Nationwide Children’s Hospital and the Ohio State University, 700 Children’s Drive, Columbus, OH, 43205, USA

    Jennifer H. Aldrink

  4. Department of Pediatrics, Division of Pediatric Nephrology, Nationwide Children’s Hospital and the Ohio State University, 700 Children’s Drive, Columbus, OH, 43205, USA

    Rose Ayoob

Authors
  1. Hiromi Kako
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  2. Thomas Taghon
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  3. Giorgio Veneziano
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  4. Jennifer H. Aldrink
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  5. Rose Ayoob
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  6. Joseph D. Tobias
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Corresponding author

Correspondence to Hiromi Kako.

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Kako, H., Taghon, T., Veneziano, G. et al. Severe intraoperative hypertension after induction of anesthesia in a child with a neuroblastoma. J Anesth 27, 464–467 (2013). https://doi.org/10.1007/s00540-012-1544-x

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  • DOI: https://doi.org/10.1007/s00540-012-1544-x

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