Anesthesia for hemicolectomy in a known porphyric with cecal malignancy

Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. Th...

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Main Authors:	Naithani, B. K., Shah, Shagun Bhatia, Bhargava, A. K., Batra, Vivek
Format:	Online
Language:	English
Published:	Medknow Publications & Media Pvt Ltd 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279355/

id	pubmed-4279355
recordtype	oai_dc
spelling	pubmed-42793552015-01-02 Anesthesia for hemicolectomy in a known porphyric with cecal malignancy Naithani, B. K. Shah, Shagun Bhatia Bhargava, A. K. Batra, Vivek Case Report Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. The classical signs of a porphyric crisis such as pain abdomen, vomiting and neuropsychiatric symptoms are masked under general anesthesia and can be confused with postoperative pain and vomiting and postoperative cognitive dysfunction, especially for intra-abdominal surgeries. Eternal vigilance for onset of an acute crisis is imperative. After a crisis of acute intermittent porphyria, residual paresis may persist for years in the absence of further attacks. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4279355/ /pubmed/25558204 http://dx.doi.org/10.4103/1658-354X.146320 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Naithani, B. K. Shah, Shagun Bhatia Bhargava, A. K. Batra, Vivek
spellingShingle	Naithani, B. K. Shah, Shagun Bhatia Bhargava, A. K. Batra, Vivek Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
author_facet	Naithani, B. K. Shah, Shagun Bhatia Bhargava, A. K. Batra, Vivek
author_sort	Naithani, B. K.
title	Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
title_short	Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
title_full	Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
title_fullStr	Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
title_full_unstemmed	Anesthesia for hemicolectomy in a known porphyric with cecal malignancy
title_sort	anesthesia for hemicolectomy in a known porphyric with cecal malignancy
description	Intraoperative management of a known acute intermittent porphyria patient is a challenge requiring awareness of factors, which trigger an acute crisis, clinical features of a porphyric attack, knowledge of safe pharmacologic intervention, and preparedness for reintubation and ventilatory support. The classical signs of a porphyric crisis such as pain abdomen, vomiting and neuropsychiatric symptoms are masked under general anesthesia and can be confused with postoperative pain and vomiting and postoperative cognitive dysfunction, especially for intra-abdominal surgeries. Eternal vigilance for onset of an acute crisis is imperative. After a crisis of acute intermittent porphyria, residual paresis may persist for years in the absence of further attacks.
publisher	Medknow Publications & Media Pvt Ltd
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279355/
_version_	1613171626402119680

Anesthesia for hemicolectomy in a known porphyric with cecal malignancy

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