Perioperative Anaesthetic Management of Hereditary Angioedema in the Context of Adrenalectomy for Pheochromocytoma Surgery: About a Case

Perioperative Anaesthetic Management of Hereditary Angioedema in the Context of Adrenalectomy for Pheochromocytoma Surgery: About a Case

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Very good

 

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Excellent

 

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

 

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

 

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

 

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them coherent?

A: Very good

 

Comments:

The case description is adequate. The Introduction lays down the basics for taking up the present study. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. It also adequately discusses the literature. Hereditary angioedema (HAE) is a rare genetic disease characterized by a quantitative or qualitative deficiency of C1 inhibitory protein (C1-Inh-Prot). The report discusses surgery to be the treatment of choice for pheochromocytoma. The report aptly recommends the preparation and availability of all the necessary tools to deal with possible unforeseen events arising in such a case.

 

Literature

Q: Does the author utilize relevant literature?

A: Very good

 

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

 

Length

Q: Is the paper's length adequate to the topic's significance? Do you suggest shortening the paper without losing its value?

A: Good

 

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Not applicable.

 

Writing style

Q: Is it clear and understandable?

A: Very good

 

Further comments on the paper

Comments: This case report presents the case of a 73-year-old female patient with type II hereditary angioedema (HAE) scheduled for a laparoscopic adrenalectomy to remove a pheochromocytoma, which was diagnosed during the etiological screening for a second episode of Takotsubo (TKS) syndrome triggered by a corticoid infiltration. This study holds significance as the possibility of a HAE crisis due to orotracheal intubation and surgical stress, in addition to the hemodynamic instability during pheochromocytoma manipulation and the history of stress cardiomyopathy, which are all present in this case, requires meticulous anesthetic planning.

 

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Author Info

Corresponding Author
Agustín Díaz-Álvarez
Anesthesiology and Critical Care, Complejo Asistencial Universitario de Salamanca, Gerencia Regional de Salud de Castilla y León (SACYL), Paseo San Vicente, Salamanca, Spain

Article Info

Article Type
Case Report
Publication history
Received: Tue 02, Aug 2022
Accepted: Tue 27, Sep 2022
Published: Wed 05, Oct 2022
Copyright
© 2023 Agustín Díaz-Álvarez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2022.10.02