Intraoperative management of carcinoid syndrome

Published: 19 Feb 2013

Authors

Dr Helen Usher [1]

Dr Irwin Foo [2]

[1] Specialist Registrar, Anaesthesia, Western General Hospital, Edinburgh, United Kingdom
[2] Consultant, Anaesthesia, Western General Hospital, Edinburgh, United Kingdom

Summary

We present a case of a patient with suspected carcinoid syndrome, who underwent laparotomy and ileo-colic resection. He had been commenced on an octreotide infusion pre-operatively to optimise him prior to surgery. However, during surgery, he had periods of cardiovascular instability, which did not respond as predicted to the use of recommended vasopressor agents. We suggest that it is helpful to administer a small test-dose of vasopressor to patients in this situation, as they may not behave predictably to recommended therapy.

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