Taken from an email posted on one of the online forums, the link below is a scanned copy of Dr. Pommier’s research and use of octreotide during surgery of patients with any kind of neuroendocrine tumor including carcinoid and pancreatic islet cells. Dr. Pommier – Prophylactic Octreotide to Prevent Surgical Carcinoid Syndrome – March 20, 2012.
Dr. Woltering’s Octreotide Protocol: The NOLA NETS group uses this–others use less–can’t speak to their results but even with these “higher than others” type dosing we have had 2 carcinoid crisis out of about 300 OR visits– Two hours before surgery give 500 micrograms of octreotide acetate IV Push Then start a 500 microgram per hour IV infusion —– start this immediately after the IV push and continue infusion during and after
If General Anesthesia is used, give the patient s.q Sandostatin (octreotide) 200 ugms followed immediately with an IV Sandostatin drip at 75 ugms per hour. Run the i.v pre-peri and for six hours after Surgery. If local or regional block anesthesia is used, Sandostatin i.v 200 ugm bolus should be on-call for any drop of Blood pressure. This can be repeated every two or three hours. Call for any questions (319-430-7669, cell). Peace, Tom
As NET patients are well aware, we tend to be quite complicated. It is a wise decision to wear a medical ID alert in the event that you need medical attention and are unable to speak for yourself. If you have carcinoid (or any other kind of NET) with or without syndrome, it is recommended to wear a medical alert bracelet or necklace that states not receive epinephrine, which could
