Volume : VII, Issue : IV, April - 2018
Anaesthetic management of pheochromocytoma. A case report
Dr Geeta Choudhary, Dr Sandhya
Abstract :
Pheochromocytomas are neoplasms of chromaffin tissue that synthesize catecholamines. These chromaffin tissue tumors are not uncommon in
anesthetic practice and have varied manifestations. Pheochromocytoma represents very significant challenges to the anesthetist, especially when
undiagnosed. By some estimates, 25 to 50 percent of hospital deaths of patients with unmanaged or unknown pheochromocytoma occur during
induction of anesthesia or during operative procedures for other conditions.1 Anaesthetic management includes Preoperative use of alphaadrenergic
antagonists, beta–adrenergic antagonists with or without other antihypertensive agents, fluid therapy as well as insulin therapy for
hyperglycemia if required. Despite this preoperative preparation, many patients will have hypertensive crises intraoperatively which need to be
promptly and carefully managed by the anesthesia team which requires intensive and advanced monitoring techniques. With advancement in
surgical and anesthetic techniques, the incidence of severe morbidity and mortality associated with the surgery is low in high volume centers.
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DOI : 10.36106/ijsr
Cite This Article:
DR GEETA CHOUDHARY, DR SANDHYA, Anaesthetic management of pheochromocytoma. A case report, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
Number of Downloads : 194
References :
DR GEETA CHOUDHARY, DR SANDHYA, Anaesthetic management of pheochromocytoma. A case report, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-4 | April-2018
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