Summary
The anaesthetic management of a patient with pheochromocytoma is discussed. The following points should be considered when treating such patients:
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1.
Preoperative preparation with adrenergic blocking agents, following the criteria of Harrisonet al.4
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2.
Use of an anaesthetic agent (methoxyflurane or fluroxene) which is not associated with release of endogenous catecholamines and does not sensitize the myocardium to high levels of circulating catecholamines.
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3.
Adequate fluid and blood administration, including preoperative transfusion if necessary.
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4.
Careful monitoring during surgery, including direct arterial pressure, central venous pressure, electrocardiogram, urinary output, and blood gas determinations.
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5.
Ready availability of all pharmacological agents appropriate for the control of hypertension, hypotension, and cardiac arrhythmias.
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References
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Fanning, G.L., Dykes, M.H.M. & May, A.G. Anaesthetic management of pheochromocytoma: A case report. Can. Anaesth. Soc. J. 17, 261–268 (1970). https://doi.org/10.1007/BF03004605
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DOI: https://doi.org/10.1007/BF03004605