Key result
A 5-month-old infant with abdominal neuroblastoma developed severe intraoperative hypertension requiring continuous infusion of vasodilators despite lacking severe preoperative hypertension.
Case Report (n=1)
No
Anesthesiologists should prepare for intraoperative hemodynamic instability with invasive monitoring and vasodilators when managing patients with neuroblastoma, even if preoperative hypertension is not severe.
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Readiness for intraoperative hypertension is prudent in neuroblastoma even without severe preoperative hypertension; leaves open whether this alters standard monitoring practices.
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Kojima et al. (2014) conducted a case report in Abdominal neuroblastoma (n=1). Anesthetic management with vasodilators (nicardipine and PGE1) was evaluated. A 5-month-old infant with abdominal neuroblastoma developed severe intraoperative hypertension requiring continuous infusion of vasodilators despite lacking severe preoperative hypertension.
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