Perioperative Management of Severe Hypertension during Laparoscopic Surgery for Pheochromocytoma


ERDOĞAN M. A. , UÇAR M. , ÖZKAN A. S. , ÖZGÜL Ü. , DURMUŞ M.

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, vol.44, no.1, pp.47-49, 2016 (Journal Indexed in ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 1
  • Publication Date: 2016
  • Doi Number: 10.5152/tjar.2016.25993
  • Title of Journal : TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION
  • Page Numbers: pp.47-49

Abstract

Phaeochromocytoma is a catecholamine-secreting vascular tumour that is derived from chromaffin cell. Lethal cardiovascular complications, such as serious hypertension, myocardial infarction and aortic dissection, may occur because of uncontrolled catecholamine release. Each stage of anaesthesia management has vital importance because of this destructive catecholamine secretion that may occur during induction, perioperative stage and surgical manipulation. In this study, we report regarding the preoperative preparation and severe, persistent hypertension attack management with a combination of alpha-adrenergic blockade, beta-adrenergic blockade, sodium nitroprusside and remifentanil in a patient who underwent laparoscopic surgery for phaeochromocytoma.