Anaesthesia for large Wilms’ tumour (Nephroblastoma)

With the permission of the WFSA, I have been working on translating the PDF documents of the UPDATE in Anaesthesia (for paediatrics) into html so that they are much more easily read/referenced on hand held devices (e.g., iphone).

This page is under construction, converting the originally formatted pdf from the WFSA site with wiki embellishments.

(☑ indicates completed conversion to html/wiki)

Originally from https://resources.wfsahq.org/uia/vol-37-paediatrics-special-edition/ | Update in Anaesthesia

Maryrose O. Osazuwa* and Ibironke Desalu

*Correspondence email: maryroseag@yahoo.com

doi:10.1029/WFSA-D-19-00023

Maryrose O. Osazuwa FWACS, FMCA   Senior Consultant and Paediatric Anaesthetist National Hospital Abuja NIGERIA

Ibironke Desalu FWACS, FMCA Consultant Paediatric Anaesthetist, Lagos University Teaching Hospital Professor of Anaesthesia University of Lagos NIGERIA

Abstract

Wilms’ tumour (nephroblastoma) is the most common childhood intra-abdominal malignancy. It may grow very large with late presentation in resource poor settings. Anaesthesia for surgical removal of this tumour requires a good knowledge of the patient: size of tumour, extent of tumour spread, treatment so far, current medications,associated syndromes or co-existing diseases and present physical condition.Intraoperative haemodynamic instability, large f luid shifts and massive blood loss may occur. Safe anaesthesia requires adequate preparation, optimisation and vigilant intraoperative monitoring.

Key words:
Wilms’ tumour, nephroblastoma, intra-abdominal tumour, paediatric anaesthesia, childhood malignancy