ID 109597
Author
Hirose, Kayo Department of Pharmacology, Institute of Health Biosciences, the University of Tokushima Graduate School|Department of Anesthesiology, Tokyo University Graduate School of Medicine
Mita, Naoji Department of Anesthesiology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Takaishi, Kazumi Department of Dental Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kawahara, Tomiya Department of Anesthesiology, Tokushima University Hospital
Katayama, Toshiko Department of Anesthesiology, Tokushima University Hospital
Imura, Satoru Department of Digestive and Pediatric Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Morine, Yuji Department of Digestive and Pediatric Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Ikemoto, Tetsuya Department of Digestive and Pediatric Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Shimada, Mitsuo Department of Digestive and Pediatric Surgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Matsuhisa, Munehide Diabetes Therapeutics and Research Center, the University of Tokushima Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kitahata, Hiroshi Department of Dental Anesthesiology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
insulinoma
perioperative glucose management
artificial endocrine pancreas
anesthetic management
continuous blood glucose monitoring
Content Type
Journal Article
Description
A 71-year-old woman had an episode of syncope due to hypoglycemia of 27 mg/dl. She was diagnosed with insulinoma and scheduled for laparoscopic enucleation along with the use of an artificial endocrine pancreas (STG-22, Nikkiso Co., Ltd., Tokyo, Japan). Anesthesia was maintained with sevoflurane and remifentanil. Her blood glucose level was controlled using the artificial endocrine pancreas, which enabled continuous blood glucose monitoring and computer-operated glucose and insulin infusion to maintain the blood glucose level at a steady state. The target concentration of blood glucose was set at 80-120 mg/dl during surgery. Until removal of the tumor, the blood glucose level was kept at around 80-100 mg/dl. After removal of the tumor, the blood glucose level gradually increased, but it was kept in the normal range by the artificial endocrine pancreas. The artificial endocrine pancreas was useful to monitor and maintain blood glucose levels during and after the removal of insulinoma, without any hyper- or hypoglycemia.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
61
Issue
3-4
Start Page
421
End Page
425
Sort Key
421
Published Date
2014-08
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital
Institute of Advanced Medical Sciences
Oral Sciences