Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist

Authors

  • Idoris Cordero Escobar Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.
  • Areli Pérez Cue Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.

Abstract

Introduction:

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.

Objective:

To carry out an update about the perioperative period of anesthesia in juvenile angiofibroma.

Development:

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.

Conclusions:

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.

Keywords:  juvenile angiofibroma; anesthesia; blood-saving methods; complications.

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Author Biographies

Idoris Cordero Escobar, Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.

Especialista II Grado Anestesiología y Reanimación. Dra Cs. Prof e Investigadora Titular.

Areli Pérez Cue, Hospital Clínico Quirúrgico Hermanos Ameijeiras. La Habana.

Especialista en Otorrinolaringología. Profesora e Investigadora Titular. Dra. en Ciencias.

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Published

2019-05-07

How to Cite

1.
Cordero Escobar I, Pérez Cue A. Anesthesia in juvenile angiofibroma: an challenge for the anesthesiologist. Rev Cub Anest Rean [Internet]. 2019 May 7 [cited 2024 Dec. 19];19(2). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/566

Issue

Vol. 19 No. 2 (2020): May - August

Section

Opinion articles

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