Anesthetists approach in a neonate with nesidioblastoma undergoing pancreatectomy.

Abstract

Persistent hyperinsulinemic hypoglycemia of infancy (PHHI) is rare, but an important cause of hypoglycemia in infants, associated with a number of structural abnormalities of the endocrine pancreas is collectively termed as "Islet cell dysmaturation syndrome." We present the anesthetic management in a clinically diagnosed case of PHHI in a 22 days old full term child, undergoing Subtotal Pancreatectomy. We have discussed the challenges faced in the intra-operative period in managing this neonate for pancreatic resection surgery with focus on intra-operative management of blood glucose levels.

• Authors: Kiran Patel, Mukta Shikare, Dilip Chavan, Pradnya Sawant
• Journal: Journal of anaesthesiology, clinical pharmacology (J Anaesthesiol Clin Pharmacol) Vol. 29 Issue 3 Pg. 384-6 (Jul 2013) ISSN: 0970-9185 [Print] India
• PMID: 24106367 (Publication Type: Case Reports)