Mast cell tumor surgery: Difference between revisions
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==Overview== | ==Overview== | ||
==Surgery== | ==Surgery== | ||
In the surgical setting it is recommended to avoid beta-blockers as they interfere with endogenous epinephrine and may precipitate anaphylaxis. It is also recommended to avoid alpha-blockers as well as anti-cholinergics. Care must be taken in the perioperative management of the patient with systemic mastocytosis. Certain anesthetic and analgesic medications can serve as a trigger of an acute exacerbation of mastocytosis <ref name="pmid19213401">{{cite journal |author=Chaar CI, Bell RL, Duffy TP, Duffy AJ |title=Guidelines for safe surgery in patients with systemic mastocytosis |journal=[[The American Surgeon]] |volume=75 |issue=1 |pages=74–80 |year=2009 |month=January |pmid=19213401 |doi= |url=http://openurl.ingenta.com/content/nlm?genre=article&issn=0003-1348&volume=75&issue=1&spage=74&aulast=Chaar |issn= |accessdate=2012-08-18}}</ref>. Peri-operative administration of [[antihistamines]] such as [[benadryl]] and steroids such as [[Solumedrol]] may be necessary. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
In the surgical setting it is recommended to avoid beta-blockers as they interfere with endogenous epinephrine and may precipitate anaphylaxis. It is also recommended to avoid alpha-blockers as well as anti-cholinergics. Care must be taken in the perioperative management of the patient with systemic mastocytosis. Certain anesthetic and analgesic medications can serve as a trigger of an acute exacerbation of mastocytosis [1]. Peri-operative administration of antihistamines such as benadryl and steroids such as Solumedrol may be necessary.
References
- ↑ Chaar CI, Bell RL, Duffy TP, Duffy AJ (2009). "Guidelines for safe surgery in patients with systemic mastocytosis". The American Surgeon. 75 (1): 74–80. PMID 19213401. Retrieved 2012-08-18. Unknown parameter
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