An Anesthetic Experience for Resection of Pheochromocytoma - 1 cases .
10.4097/kjae.1981.14.2.220
- Author:
Jeong Hwan SEO
1
;
Yong Woo LEE
Author Information
1. Department of Anesthesiology, St. Benedict Hospital, Pusan, Korea.
- Publication Type:Case Report
- MeSH:
Adrenalectomy;
Adult;
Analgesia;
Anesthetics;
Blood Pressure;
Halothane;
Heart;
Hemorrhage;
Humans;
Male;
Muscle Relaxation;
Oxygen;
Pheochromocytoma*;
Resuscitation;
Thiopental;
Ventilation
- From:Korean Journal of Anesthesiology
1981;14(2):220-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The author reports an anesthetic experience of right adrenalectomy. The patient was 38 years old male, having suffered from pheochromocytoma. Thiopental sodium, 300mg of 2.5% was used for induction, followed by N2O, O2, and halothane for maintenance and 0.1% S.C.C. solution in 500 ml of 5% D/W solution, dripped intravenously for muscle relaxation. AS the time of surgical manipulation of the gland, blood pressure was suddenly raised to 250/160mmHg, and a few minutes later massive bleeding, about 1800ml in amount, was detected in the operating and then the heart was arrested. Resuscitation was performed with adequate oxygenation and medications. The patient recovered well without any sequelae. The importance of preoperative preparation, sufficient sedation, smooth anesthetic induction, complete analgesia, good muscle relaxation, adequate ventilation and proper cardiovascular control are discussed together with the choice of anesthetic agents and practices.
