| Inhalation Anesthesia with Isoflurane for Surgical Removal of Pheochromocytoma. |
|
Se Gang Kim, Yu Taeg Yim, Yong Il Jeoung, Beung Yeun Jeoung, Hyok Kwon Kwon |
1Department of Anesthesiology, Dae Rim St. Mary's Hospital, Seoul, Korea.
2Department of Anesthesiology, Inha University College of Medicine, Incheon, Korea.
3Department of Anesthesiology, Yonsei Cardiovascular Center and Research Institute, Yonsei University College of Medicine, Seoul, Korea. |
|
|
|
|
|
| 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. |
| Key Words:
Isoflurane nitroprusside; dopamine; Pheochromocytoma hypertension; arrhythmia |
|
PDF Links
Full text via DOI
Download Citation
