Anesthetic Management of a Patient with Pheochromocytoma in Pregnancy: A case report.
10.4097/kjae.2005.49.4.570
- Author:
Bum Suk KIM
1
;
Jun Yong IN
;
Sang Ho KIM
;
Myung Ae LEE
;
Ho Sung KWAK
Author Information
1. Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea. dragona1@freechal.com
- Publication Type:Case Report
- Keywords:
cesarean section;
epidural anesthesia;
general anesthesia;
pheochromocytoma;
pregnancy
- MeSH:
Anesthesia;
Anesthesia, Epidural;
Anesthesia, General;
Anesthetics;
Catecholamines;
Cesarean Section;
Diagnosis;
Female;
Fetus;
Hemodynamics;
Humans;
Mortality;
Mothers;
Pheochromocytoma*;
Pregnancy*
- From:Korean Journal of Anesthesiology
2005;49(4):570-573
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma with pregnancy is very uncommon but it is associated with very high maternal and fetal morbidity and mortality. Antepartum diagnosis and proper management can prevent mother and fetus from potentially lethal outcome. Since pheochromocytoma produces and secretes catecholamines, hemodynamic instability can be brought. The aim of anesthetic management is the avoidance of drugs and episodes that will result in hypertensive crisis, and the selection of safe anesthetic measures and anesthetics to mother and fetus. We report a case of pheochromocytoma with pregnancy managed with combined anesthetic technique-epidural anesthesia for cesarean section and general anesthesia for resection of pheochromocytoma 3 weeks after cesarean section. ?
