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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/9924
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dc.contributor.authorVaculin, Nicolae
dc.date.accessioned2020-05-27T07:11:03Z
dc.date.available2020-05-27T07:11:03Z
dc.date.issued2018
dc.identifier.citationVACULIN, Nicolae. Managementul anestezic la pacienții cu tumorile zonei chiasmal-selare = Anesthetic management in patients with tumors of the chiasmal-sellar area. In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 29. ISSN 2537-6381.en_US
dc.identifier.issn2537-6381
dc.identifier.issn2537-6373
dc.identifier.urihttp://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/9924
dc.descriptionDepartamentul Anesteziologie şi Terapie Intensivă, Spitalul Internațional Medpark, Chișinău, Republica Moldova, The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care, September 27-29, 2018, Chisinau, the Republic of Moldovaen_US
dc.description.abstractIntroducere: Tratamentul pacienților cu tumori ale zonei chiasmal-selare reprezintă o problemă actuală în neurochirurgie și neuroanesteziologie, fiind o provocare pentru medicul anestezist. Acest tip de tumori prezintă o incidență înaltă (18% din numărul total de tumori neurochirurgicale). Conținut: Manifestările clinice și posibilele complicații sunt dictate de localizarea topografică a tumorii, având în vecinătate unele din cele mai importante structuri anatomice (artera carotidă internă, sinusul cavernos, hipotalamusul, ventriculul III). Implicarea lor în procesul patologic sau deteriorarea lor duc, de obicei, la complicații severe intra- și postoperatorii. O altă particularitate este dezechilibrul hormonal dictat de tumorile chiasmal-selare, ce se complică prin perturbări somatice severe dishormonale. Evident, toate acestea necesită o evaluare și o pregătire preoperatorie cu o conduită anestezică specifică ce minimalizează riscul apariției complicațiilor posibile, dictând succesul acestui tip de intervenții neurochirurgicale. Concluzii: Pacienții cu tumori ale zonei chiasmal-selare necesită o abordare complexă și o coordonare între endocrinolog, neurochirurg și anestezist. Manifestările sistemice preoperatorii și bolile sistemice secundare datorate disfuncției pituitare trebuie evaluate și corijate în preoperator. Managementul perioperator anestezic la pacienții cu tumori ale zonei chiasmal-selare necesită o abordare individualizată, în scopul prevenirii și corecției rapide a complicațiilor posibile. Toți pacienții au nevoie de un follow-up pe termen lung, de un endocrinolog experimentat pentru a-și evalua și corija statutul hormonal.
dc.description.abstractBackground: The treatment of patients with tumors of chiasmal-sellar area represents a current issue in neurosurgery and neuroanesthesia; it is a challenge for the anesthesiologist. This type of tumors presents a high incidence (18% from the total number of neurosurgical tumors). Clinical case description: The clinical manifestations and possible complications are dictated by the topographic location of the tumor, having nearby one of the most important anatomical structures (the internal carotid artery, the sinus, the hypothalamus, the 3rd ventricle); their implication in the pathological process or their damage usually leads to severe complications during intraoperative and postoperative period. Another peculiarity is the hormonal imbalance dictated by the chiasmal-sellar tumors, which gets complicated by severe dishormonal somatic disturbances. Obviously, all of these require an evaluation and a preoperative preparation with a special anesthetic conduit, which minimalizes the risk of future complications, dictating the success of this type of neurosurgical interventions. Conclusions: The patients with tumors of the chiasmal-sellar area require a complex approach and coordination between endocrinologist, neurosurgeon and anesthesiologist. The systemic preoperative manifestations and systemic side diseases (comorbidities) due to the pituitary dysfunction have to be appreciated and fixed in the preoperative period. The management of the patients with tumors of the chiasmal-sellar area requires an individualized perioperative anesthetic management with the purpose of rapidly preventing and correcting possible complications. All patients need a follow-up on a long-term basis, made by an experienced endocrinologist in order to evaluate and manage the hormonal status.
dc.language.isoroen_US
dc.publisherThe Scientific Medical Association of the Republic of Moldovaen_US
dc.relation.ispartofThe Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova
dc.subjecttumors of the chiasmal-sellar areaen_US
dc.subjectdishormonal somatic disturbancesen_US
dc.subjectanesthetic managementen_US
dc.titleManagementul anestezic la pacienții cu tumorile zonei chiasmal-selareen_US
dc.title.alternativeAnesthetic management in patients with tumors of the chiasmal-sellar area
dc.typeArticleen_US
Appears in Collections:The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue

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