Korean J Anesthesiol.  1997 Jan;32(1):122-126. 10.4097/kjae.1997.32.1.122.

Inhalation Anesthesia with Isoflurane for Surgical Removal of Pheochromocytoma

• Kim SG
• Yim YT
• Jeoung YI
• Jeoung BY
• Kwon HK

• KMID: 2091053
• DOI: http://doi.org/10.4097/kjae.1997.32.1.122

Abstract

We have experienced an anesthetic management of a 34 year old female patient with pheochromocytoma of left adrenal gland. The anesthetic management of patients presents many difficult problems, such as hypertension, arrhythmia and hypotension. The patient had been treated with phenoxybenzamine for 2 weeks preoperatively. Following induction of anesthesia with intravenous fentanyl, thiopental sodium and vecuronium, endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxygen and isoflurane administration. Blood pressure and pulse were controlled well with nitroprusside and isoflurane. After removal of tumor, blood pressure was controlled by Hartman's solution, packed red cell and dopamine administration. The patient tolerated well despite the episodic hemodynamic changes. Importance of preoperative preparation, sufficient sedation, smooth induction, complete analgesia, good muscle relaxation and stable cardiovascular control has been discussed.

Keyword

Isoflurane nitroprusside; dopamine; Pheochromocytoma hypertension; arrhythmia

MeSH Terms

Adrenal Glands
Adult
Analgesia
Anesthesia
Anesthesia, Inhalation*
Arrhythmias, Cardiac
Blood Pressure
Dopamine
Female
Fentanyl
Hemodynamics
Humans
Hypertension
Hypotension
Inhalation*
Intubation, Intratracheal
Isoflurane*
Muscle Relaxation
Nitroprusside
Nitrous Oxide
Oxygen
Phenoxybenzamine
Pheochromocytoma*
Thiopental
Vecuronium Bromide
Dopamine
Fentanyl
Isoflurane
Nitroprusside
Nitrous Oxide
Oxygen
Phenoxybenzamine
Thiopental
Vecuronium Bromide