Korean J Anesthesiol.  2003 Jan;44(1):128-131. 10.4097/kjae.2003.44.1.128.

Use of Nicardipine and Esmolol in the Anesthetic Management for Bilateral Pheochromocytoma: A case report

• Lim PJ
• Kwak HJ
• Kwak HS

• KMID: 1860711
• DOI: http://doi.org/10.4097/kjae.2003.44.1.128

Abstract

Pheochromocytoma stems from the chromaffin cell and mostly is located in the adrenal medulla. It is an important cause of secondary hypertension due to correction of hypertension by a resection of the tumor. Because it produces and secretes catecholamine, it bothers anesthesiologists with excessive hypertension, tachycardia and arrhythmia during the anesthetic period. Therefore, anesthetic management is directed to avoid these conditions. We report a case of bilateral pheochromocytoma successfully managed intraoperatively with an infusion of nicardipine and an intermittent esmolol injection.

Keyword

Esmolol; nicardipine; pheochromocytoma

MeSH Terms

Adrenal Medulla
Arrhythmias, Cardiac
Chromaffin Cells
Hypertension
Nicardipine*
Pheochromocytoma*
Tachycardia
Nicardipine