Anaesthetic management of a patient with glucose-6-phosphate dehydrogenase deficiency undergoing robotic-assisted laparoscopic radical prostatectomy

Authors

  • Vani Bhageria Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085 http://orcid.org/0000-0002-9227-0803
  • Itee Chowdhury Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085
  • Nitesh Goel Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085
  • Soumi Pathak Rajiv Gandhi Cancer Institute and Research Centre, Sector 5, Rohini, Delhi 110085

DOI:

https://doi.org/10.3126/jsan.v3i2.15621

Keywords:

Bispectral index monitor, Epidural analgesia, Glucosephosphate Dehydrogenase Deficiency, oxidative stress, Robotic surgical procedure.

Abstract

Glucose-6-phosphate dehydrogenase deficient patients may develop acute haemolysis after exposure to the oxidative stress of surgery, and certain anaesthetic or analgesic agents. The steep Trendelenburg position, pneumoperitoneum, and associated extreme hemodynamic changes in robotic surgery add on to oxidative stress. Here, we present a 68-year-old Glucose-6-phosphate dehydrogenase deficient patient who uneventfully underwent robotic-assisted laparoscopic radical prostatectomy focussing on avoidance of drugs predisposing haemolysis, minimising surgical stress, providing adequate anxiolysis, analgesia, stable haemodynamics and depth of anaesthesia that is unique to robotic surgery.

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Published

2016-09-17

How to Cite

Bhageria, V., Chowdhury, I., Goel, N., & Pathak, S. (2016). Anaesthetic management of a patient with glucose-6-phosphate dehydrogenase deficiency undergoing robotic-assisted laparoscopic radical prostatectomy. Journal of Society of Anesthesiologists of Nepal, 3(2), 93–95. https://doi.org/10.3126/jsan.v3i2.15621

Issue

Vol. 3 No. 2 (2016)

Section

Case Reports

License

© Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.