Inhalation Anesthesia with Isoflurane for Surgical Removal of Pheochromocytoma.
10.4097/kjae.1997.32.1.122
- Author:
Se Gang KIM
1
;
Yu Taeg YIM
;
Yong Il JEOUNG
;
Beung Yeun JEOUNG
;
Hyok Kwon KWON
Author Information
1. Department of Anesthesiology, Dae Rim St. Mary's Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Isoflurane nitroprusside;
dopamine;
Pheochromocytoma hypertension;
arrhythmia
- MeSH:
Adrenal Glands;
Adult;
Analgesia;
Anesthesia;
Anesthesia, Inhalation*;
Arrhythmias, Cardiac;
Blood Pressure;
Dopamine;
Female;
Fentanyl;
Hemodynamics;
Humans;
Hypertension;
Hypotension;
Inhalation*;
Intubation, Intratracheal;
Isoflurane*;
Muscle Relaxation;
Nitroprusside;
Nitrous Oxide;
Oxygen;
Phenoxybenzamine;
Pheochromocytoma*;
Thiopental;
Vecuronium Bromide
- From:Korean Journal of Anesthesiology
1997;32(1):122-126
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have experienced an anesthetic management of a 34 year old female patient with pheochromocytoma of left adrenal gland. The anesthetic management of patients presents many difficult problems, such as hypertension, arrhythmia and hypotension. The patient had been treated with phenoxybenzamine for 2 weeks preoperatively. Following induction of anesthesia with intravenous fentanyl, thiopental sodium and vecuronium, endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxygen and isoflurane administration. Blood pressure and pulse were controlled well with nitroprusside and isoflurane. After removal of tumor, blood pressure was controlled by Hartman's solution, packed red cell and dopamine administration. The patient tolerated well despite the episodic hemodynamic changes. Importance of preoperative preparation, sufficient sedation, smooth induction, complete analgesia, good muscle relaxation and stable cardiovascular control has been discussed.
