Anesthesiologist’s Perspective on a Child with Acute Lymphoblastic Leukemia undergoing Neurosurgery: Case Report
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Abstract
Acute lymphoblastic leukemia (ALL) is the most common hematological malignancy in the pediatric age group. Anesthesia in such patients necessitates special considerations, in terms of disease progression and its respective treatment as well. We present a case of a 2-year-old child, a known case of ALL posted for drainage of multifocal brain abscess under general anesthesia. Anesthetic management of children with ALL presenting for neurosurgical procedures should focus on disease and its various systemic manifestations, treatment-related side effects, and anesthetic interactions which sometimes may be disastrous.
[1] Arora RS, Arora B. Acute leukemia in children: A review of the current Indian data. South Asian J Cancer. 2016; 5(3):155-60
[2] Oduro-Dominah L, Brennan LJ. Anesthetic management of the child with hematological malignancy. Continuing Education in Anesthesia, Critical Care & Pain. 2013; 13(5):158-64.
[3] Lackner H, Sovinz P, Benesch M, Smolle‐Jüttner F, Mokry M, Schwinger W, et al. Management of brain abscesses in children treated for acute lymphoblastic leukemia. Pediatr Blood Cancer. 2009; 52(3):408-11.
[4] Cohn CS. Platelet transfusion refractoriness: how do I diagnose and manage? Hematology Am Soc Hematol Educ Program. 2020; 2020(1):527-532.
[5] Kaneko T, Kagawa T, Ueshima E, Hirose M. Association between the choice of anesthesia method and reactivity to chemotherapy in children with acute lymphocytic leukemia: a preliminary retrospective cohort study. JA Clin Rep. 2019; 5(1):63.
[6] Byrne K, Levins KJ, Buggy DJ. Can anesthetic-analgesic technique during primary cancer surgery affect recurrence or metastasis? Can J Anaesth. 2016; 63(2):184-92.
[7] Brogi E, Forfori F. Anesthesia and cancer recurrence: an overview. J Anesth Analg Crit Care. 2022; 2(1):1-2.
[8] Bernhardt MB. Nausea and vomiting: Therapeutic orphans of pediatric oncology. Pediatr Blood Cancer. 2017; 64(10).
[2] Oduro-Dominah L, Brennan LJ. Anesthetic management of the child with hematological malignancy. Continuing Education in Anesthesia, Critical Care & Pain. 2013; 13(5):158-64.
[3] Lackner H, Sovinz P, Benesch M, Smolle‐Jüttner F, Mokry M, Schwinger W, et al. Management of brain abscesses in children treated for acute lymphoblastic leukemia. Pediatr Blood Cancer. 2009; 52(3):408-11.
[4] Cohn CS. Platelet transfusion refractoriness: how do I diagnose and manage? Hematology Am Soc Hematol Educ Program. 2020; 2020(1):527-532.
[5] Kaneko T, Kagawa T, Ueshima E, Hirose M. Association between the choice of anesthesia method and reactivity to chemotherapy in children with acute lymphocytic leukemia: a preliminary retrospective cohort study. JA Clin Rep. 2019; 5(1):63.
[6] Byrne K, Levins KJ, Buggy DJ. Can anesthetic-analgesic technique during primary cancer surgery affect recurrence or metastasis? Can J Anaesth. 2016; 63(2):184-92.
[7] Brogi E, Forfori F. Anesthesia and cancer recurrence: an overview. J Anesth Analg Crit Care. 2022; 2(1):1-2.
[8] Bernhardt MB. Nausea and vomiting: Therapeutic orphans of pediatric oncology. Pediatr Blood Cancer. 2017; 64(10).
| Files | ||
| Issue | Vol 10 No 3 (2024): Summer |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v10i3.15701 | |
| Keywords | ||
| Acute lymphoblastic leukaemia paediatric neurosurgery anaesthetic technique | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mahajan S, Kaur K, Thappa P, Deperu A, Narayan V. Anesthesiologist’s Perspective on a Child with Acute Lymphoblastic Leukemia undergoing Neurosurgery: Case Report. Arch Anesth & Crit Care. 2023;10(3):293-295.
