1/1. Management of a glomus jugulare tumour with internal carotid artery involvement.A previously healthy 40-year-old female presented for surgical resection of a large glomus jugulare tumour with extensive involvement of the carotid siphon and intracranial extension. Conduct of anaesthesia with specific reference to cerebral protection is discussed. A combination of induced hypothermia, barbiturate therapy, normotension, normocarbia and prior clamping of the distal internal carotid artery was chosen. The role of barbiturates as a therapeutic intervention is debated.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |