Insulinoma-Anaesthetic Implications with Review of Literature-Juniper Publishers
Juniper Publishers - Journal of Anesthesia Abstract Insulinomas are rare tumours that present with recurrent hypoglycaemic episodes. They are often misdiagnosed or diagnosis is often delayed due to their bizarre clinical presentation. Diagnosis of insulinoma is made based on history (Whipple's Triad), biochemical tests and imaging modalities. Treatment includes medical and surgical management. We intend to describe the anaesthetic management of three cases of insulinoma observed over a period of one year and review the existing literature. Though rare, when they do occur, these tumours pose a great challenge to anaesthesiologists. Vigilant monitoring of blood sugars intraoperatively is a must to counteract these wide swings, hence providing a better patient outcome. Keywords: Insulinoma; Anaesthetic management; Hypoglycaemia; Whipple's Triad; Intraoperative ultrasound (IOUS) Introduction Insulinomas are rare t...