Perioperative Management of Severe Hypertension during Laparoscopic Surgery for Pheochromocytoma

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 mana...

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Bibliographic Details
Published in:Turkish journal of anaesthesiology and reanimation 2016-02, Vol.44 (1), p.47
Main Authors: Mehmet Ali Erdoğan, Uçar, Muharrem, Ahmet Selim Özkan, Özgül, Ülkü, Durmuş, Mahmut
Format: Article
Language:English
Subjects:
Adrenal glands
Hypertension
Laparoscopy
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Summary: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 ?-adrenergic blockade, ?-adrenergic blockade, sodium nitroprusside and remifentanil in a patient who underwent laparoscopic surgery for phaeochromocytoma.
ISSN:2667-677X
2667-6370
DOI:10.5152/TJAR.2016.25993