Anesthetic Experience of a Patient with Pheochromocytoma - A case report . |
Young Seok Jee, Kyung Bong Yoon, Dae Ja Um, Kyoung Min Lee |
Department of Anesthesiology, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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Abstract |
We have experienced an anesthetic management of a 39-year-old male patient with pheo-chromocytoma on left adrenal gland. The patient had been treated with prazosin for 2 weeks preoperatively and premedicated with lorazepam, diazepam and glycopyrrolate. Following induction of anesthesia with intravenous diazepam, fentanyl, thiopental sodium and vecuronium, endotracheal intubation was performed. After intubation, anethesia was maintained with O2-N2O-isoflurane and vecuronium. Blood pressure until tumor removal had been controlled with sodium nitroprusside and phentolamine. After tumor resection, blood pressure was controlled by Hartmanns solution, whole blood and dopamine administration. A tolerable blood pressure and pulse rate were maintained throughout the procedure. |
Key Words:
Pheochromocytoma; Prazosin; Isoflurane |
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