[Anesthesia in head and neck paragangliomas]. / La anestesia en los paragangliomas cervicocefálicos.

Head and neck paragangliomas are infrequent tumors that, for various reasons, may pose a particular challenge to anesthesiologists. It is especially important to rule out vasoactive amine secretion by the tumor and, when this occurs, to establish appropriate medical treatment before surgery as well as to maintain hemodynamic stability in the perioperative period. Balanced anesthetic techniques that allow early awakening and neurological evaluation are recommended. Bleeding, which can be profuse, must be closely monitored. In the postoperative period, special attention must be paid to the risk of bronchial aspiration and the development of compressive cervical hematoma, as well as to the possibility of stroke.

La anestesia en los paragangliomas cervicocefálicos / Anesthesia in head and neck paragangliomas

Los paragangliomas cervicocefálicos son tumores poco frecuentes, que pueden constituir un auténtico reto para el anestesiólogo, por varios motivos. Es especialmente importante descartar la producción de aminas vasoactivas por el tumor y, en caso afirmativo, el establecimiento del tratamiento médico oportuno previamente a la cirugía, así como el mantenimiento de la estabilidad hemodinámica en el perioperatorio. Se recomiendan las técnicas anestésicas balanceadas, que permitan un despertar y una evaluación neurológica precoces. Hay que vigilar estrechamente el sangrado, que puede ser profuso. En el postoperatorio debe prestarse especial atención al riesgo de broncoaspiración y al desarrollo de un hematoma cervical compresivo, así como a la posibilidad de que se produzca un accidente cerebrovascular agudo (AU)

Head and neck paragangliomas are infrequent tumors that, for various reasons, may pose a particular challenge to anesthesiologists. It is especially important to rule out vasoactiveamine secretion by the tumor and, when this occurs, to establish appropriate medical treatment before surgery as well as to maintain hemodynamic stability in the perioperative period. Balanced anesthetic techniques that allow early awakening and neurological evaluation are recommended. Bleeding, which can be profuse, must be closely monitored. In the postoperative period, special attention must be paid to the risk of bronchial aspiration and the development of compressive cervical hematoma, as well as to the possibility of stroke (AU)