Anesthetic Management for the Resection of Pheochromocytoma.
10.4097/kjae.1980.13.1.28
- Author:
Seong Deok KIM
1
;
Sung Ho CHANG
;
Sang Chul LEE
;
Kun il LEE
;
II Yong KWAK
Author Information
1. Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- MeSH:
Anesthesia;
Anesthetics, Inhalation;
Arrhythmias, Cardiac;
Blood Pressure;
Catecholamines;
Enflurane;
Epinephrine;
Humans;
Hydrocarbons;
Myocardium;
Norepinephrine;
Phentolamine;
Pheochromocytoma*;
Propranolol;
Tubocurarine
- From:Korean Journal of Anesthesiology
1980;13(1):28-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Inhalation anesthetics, particularly the hydrocarbons and cyclopropane. lower the threshold to the arrhythmogenic activity of catecholamines. This interaction is of concern during the resection of a pheochromocytoma when the surgically-induced release of large amounts of norepinephrine and epinephrine from tumors sets the stage for ventricular arrhythmia by a direct effect on the myocardium together with an increase in blood pressure. In this communication, anesthesia was performed with N2,O-O2,-halothane. In addition patient was managed successfully, using d-tubocurarine, phentolamine (Regitine) and propranolol (Inderal). For the next same case, enflurane is recommended because of absence of flammability, arrhythmogenic activity and nephrotoxity. etc.
