Category: General
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Recurrent Parotid Tumors: Treatment Options
Parotid tumors can recur as single solitary mass or multifocal tumors. Recurrence of the tumor is either due to tumor implantation or inadequate surgical excision during primary surgery. Most tumors of parotid are benign Pleomorphic adenomas and surgery as enucleation or limited local excision can results in a high rate of recurrence. Even after careful…
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Gilbert’s Syndrome – Anesthesia Issues
Gilbert’s syndrome is a genetic disorder with mild jaundice from time to time. It is usually harmless and does not require treatment. It is due to a reduced amount of a chemical in the liver which processes a breakdown product of blood cells, called bilirubin. It is caused by relative deficiency of glucuronyl transferase in…
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Anesthesia (Intubation) in a Gilbert’s Syndrome Patient
Gilbert’s syndrome, caused by relative deficiency of glucuronyl transferase is the commonest cause of congenital hyperbilirubinemia -Jaundice. It is important for the anesthesiologist to understand conditions leading to decreased glucuronosyl transferase activity in Gilbert’s syndrome patients to be submitted to anesthesia, to prevent intraoperative toxicity. GA intubation in such a patient who under goes nasal…
