Korean J Anesthesiol.  1981 Mar;14(1):95-100.

Triflupromazine , Methoxyflurane and Alcuronium for Pheochromocytoma Anesthesia

• Chung SM
• Kim YS
• Oh HK

Abstract

A 21 year-old female underwent resection of a pheochrocytoma under general anesthesia. The patient was treated with phenoxybenzamine for 5 days preoperatively and premedicated with triflupromazien, Librium, Seconal, pethidine, hydroxyzine and atropine in combination. Following indution of anesthesia with intravenous morphine and thiopental sodium, succinylchoine was administered intravenously and endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxygen and methoxyflurane, using a semiclosed carbon dioxide absorption circle system, and alcuronium was injection intermittently. Blood pressure during manipulation of tumor was increased up to 190/130 torr without arrhythmia and transiently dropped to 70/50 torr immediately after removal. Blood pressure was controlled by i.v. Hartmann's solution and whole blood with Solucortef and Effortil but not norepinephrine was needed. There was no marked tachycardis or arrhythmia during anesthesia, so a beta-adrenergic blocker(Inderal) was not used. The importance of preoperative preparation, premedication and selction of anesthetics is discussed.

MeSH Terms

Absorption
Alcuronium*
Anesthesia*
Anesthesia, General
Anesthetics
Arrhythmias, Cardiac
Atropine
Blood Pressure
Carbon Dioxide
Chlordiazepoxide
Etilefrine
Female
Humans
Hydroxyzine
Intubation, Intratracheal
Meperidine
Methoxyflurane*
Morphine
Nitrous Oxide
Norepinephrine
Oxygen
Phenoxybenzamine
Pheochromocytoma*
Premedication
Secobarbital
Thiopental
Triflupromazine*
Alcuronium
Anesthetics
Atropine
Carbon Dioxide
Chlordiazepoxide
Etilefrine
Hydroxyzine
Meperidine
Methoxyflurane
Morphine
Nitrous Oxide
Norepinephrine
Oxygen
Phenoxybenzamine
Secobarbital
Thiopental
Triflupromazine