Korean J Anesthesiol.  1984 Dec;17(4):336-342.

Anesthetic Management for Pheochromocytoma with Enflurane ; 2 Cases

• Lee SH
• Kang SH
• Park HH
• Pyeun DS
• Choi SH

Abstract

Pheochromocytoma is a functioning tumor occurring in the chromaffin tissue and catecholamines from the tumor cell lead to the symptoms such as hypertension, palpitation and headache. Among the problems arising in the anesthetic management, the excessive secretion of catecholamines by the induction of anesthesia and the tumor mass manipulation causes a hypertensive crisis and the arrhythmia. Also, after the removal of the tumor mass, it must be remembered that a profound hyptension may follow due to abrupt lowering of catecholamine level. We experienced two cases of anesthetic management of pheochromcytoma using enflurane. In one case of sufficient preoperative management, it was performed uneventfully without symptoms such as hypertensive crisis and arrhythmia during the anesthetic management. But, in the other case with insufficient preoperative management, the patient was unstable due to hypertnesive crisis, premature contractions of the ventricle and tachyarrhythmia during the anesthetic management.

MeSH Terms

Anesthesia
Arrhythmias, Cardiac
Catecholamines
Enflurane*
Headache
Humans
Hypertension
Pheochromocytoma*
Tachycardia
Catecholamines
Enflurane