Anesthetic management of pediatric patients with insulinoma using continuous glucose monitoring

Motoko Manabe, Hiroshi Morimatsu, Moritoki Egi, Satoshi Suzuki, Ryuji Kaku, Masaki Matsumi, Kiyoshi Morita

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Insulinomas are rare tumors, the incidence of which is 1-2 per million. Patients with insulinomas present with symptoms of hypoglycemia secondary to insulin hypersecretion. Surgical resection is a treatment of choice and offers the only chance of cure. The important points in anesthesia are the precaution against hypoglycemia until tumor resection and the control of rebound hyperglycemia soon after tumor resection. We report the anesthetic management of a 5-year-old patient with insulinoma. Soon after the induction of anesthesia, the continuous glucose monitoring was commenced. Until the tumor resection, 10% glucose infusion was required to avoid hypoglycemia. Then, insulin infusion was continued to maintain blood glucose level around 150 mg·dl-1. All glucose management was guided with continuous glucose monitoring. This is a first case report to show the feasibility and usefulness of continuous glucose monitoring in management of pediatric insulinoma patients. As the blood glucose was dramatically altered during perioperative period, frequent blood glucose measurements or continuous glucose monitoring is mandatory during perioperative period of insulinoma resection.

Original languageEnglish
Pages (from-to)757-759
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume58
Issue number6
Publication statusPublished - 2009

Keywords

  • Anesthetic management
  • Continuous glucose monitoring
  • Insulinoma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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