Use of Nicardipine and Esmolol in the Anesthetic Management for Bilateral Pheochromocytoma: A case report.
10.4097/kjae.2003.44.1.128
- Author:
Pil Jae LIM
1
;
Hyun Jeong KWAK
;
Ho Sung KWAK
Author Information
1. Department of Anesthesiology and Pain Medicine, National Medical Center, Seoul, Korea. hyun615@hanmail.net
- Publication Type:Case Report
- Keywords:
Esmolol;
nicardipine;
pheochromocytoma
- MeSH:
Adrenal Medulla;
Arrhythmias, Cardiac;
Chromaffin Cells;
Hypertension;
Nicardipine*;
Pheochromocytoma*;
Tachycardia
- From:Korean Journal of Anesthesiology
2003;44(1):128-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma stems from the chromaffin cell and mostly is located in the adrenal medulla. It is an important cause of secondary hypertension due to correction of hypertension by a resection of the tumor. Because it produces and secretes catecholamine, it bothers anesthesiologists with excessive hypertension, tachycardia and arrhythmia during the anesthetic period. Therefore, anesthetic management is directed to avoid these conditions. We report a case of bilateral pheochromocytoma successfully managed intraoperatively with an infusion of nicardipine and an intermittent esmolol injection.
