Anesthetic management of neuroblastoma resection
Neuroblastoma is a type of solid tumor cancer that originates from immature nerve cells and primarily affects young children
For those with catecholamine-secreting tumors, both alpha- and beta-adrenergic blockade preoperatively, similar to the management of pheochromocytomas for adults
Invasive monitoring including arterial line and central venous access for fluid resuscitation and vasopressors
Maintain perioperative euvolemia: patients are dehydrated due to chronic catecholamines and vasoconstriction, as well as from vasoactive intestinal polypeptides resulting in diarrhea
Close blood pressure control, especially during tumor manipulation and after tumor resection
Blood warmer and rapid transfusion device
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