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The management of the patient with catecholamine excess

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Abstract

The key to the diagnosis of pheochromocytoma is a high index of suspicion on the part of the clinician. Confirmation of the diagnosis and localization of the tumor have been rendered relatively straightforward by advances in biochemistry, nuclear medicine, and radiology. Close cooperation and team effort between a physician, anesthetist, and surgeon possessing expertise in this field will ensure optimal preoperative, operative, and postoperative care, particularly for the small group of patients seriously ill with “acute” catecholamine excess.

Résumé

La clef du diagnostic de phéochromocytomes repose sur les données cliniques. Sa confirmation ainsi que la localisation de la tumeur sont devenues possibles grâce aux progrès de la biochimie, de la médecine nucléaire et de la radiologie.

La coopération étroite entre le médecin, l'anesthésiste et le chirurgien qualifié a permis d'assurer les meilleurs soins préopératoires, per-opératoires et post-opératoires en particulier chez les malades graves qui présentent brutalement un excès de catécholamines.

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  1. Departments of Surgery, Medicine, and Anesthesia, University Hospital of Wales and Royal Infirmary, Cardiff, Wales, UK

    Malcolm H. Wheeler M.D., F.R.C.S., Michael J. B. Chare M.A., B.M., B.Ch., F.R.C.S., Thomas R. Austin M.B., Ch.B., D.T.M.&H., F.F.A.R.C.S. & John H. Lazarus M.A., M.D., F.R.C.P.

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Wheeler, M.H., Chare, M.J.B., Austin, T.R. et al. The management of the patient with catecholamine excess. World J. Surg. 6, 735–747 (1982). https://doi.org/10.1007/BF01655366

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