Korean J Anesthesiol.  1992 Dec;25(6):1221-1224. 10.4097/kjae.1992.25.6.1221.

Anesthetic Management with Magnesium Sulfate for the Resection of Pheochromocytoma

• Nam SH
• Kim JR
• Kim JS
• Kim YJ
• Nam YT
• Kim JR

• KMID: 1934118
• DOI: http://doi.org/10.4097/kjae.1992.25.6.1221

Abstract

A 66 year-old male patient underwent resection of a pheochromocytoma under general anesthesia. The patient was treated with phenoxybenzamine and propranolol for 7 days preoperatively. Follwing an induction of anesthesia with intravenous fentanly 100 ug, thiopental sodium 250 mg, vecuronium 12 mg, and magnesium sulfate 3.0 gm, endotracheal intubation was performed. Aneathesia was maintained with nitrous oxide, oxygen and isoflurane. For the management of blood pressure during surgical manipulation, magnesium sulfate was infused at the rate of 0.75-1.0 mg/kg/min. After the removal of the tumor mass, the blood pressure dropped to 80/40 mmHg. Whole blood and fresh frozen plasma were transfused and norepinephrine 0.5 ug/kg was infused to maintain the blood pressure for 40 min. Postanesthestic recovery course was uneventful.

Keyword

Anesthetics; volatile; isoflurane; Surgery; removal of pheochromocytoma; Blood pressure control; magnesium sulfate

MeSH Terms

Aged
Anesthesia
Anesthesia, General
Anesthetics
Blood Pressure
Humans
Intubation, Intratracheal
Isoflurane
Magnesium Sulfate*
Magnesium*
Male
Nitrous Oxide
Norepinephrine
Oxygen
Phenoxybenzamine
Pheochromocytoma*
Plasma
Propranolol
Thiopental
Vecuronium Bromide
Anesthetics
Isoflurane
Magnesium
Magnesium Sulfate
Nitrous Oxide
Norepinephrine
Oxygen
Phenoxybenzamine
Propranolol
Thiopental
Vecuronium Bromide