| Anaesthesia for phaeochromocytoma in pregnancy. | |
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MedLine Citation:
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PMID: 9187786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Phaeochromocytoma in pregnancy is a rare occurrence. Details of the anaesthetic are even more rarely reported. Our purpose is to describe our management with reference to previous reports. CLINICAL FEATURES: A 31-yr-old woman underwent resection of a phaeochromocytoma at seven weeks gestation. Preoperative preparation included 2 mg prazosin p.o. bid and 40 mg propranolol p.o. bid. A balanced anaesthetic technique including 5 mg midazolam, 1500 micrograms alfentanil, 35 micrograms sufentanil, nitrous oxide and isoflurane was used. Blood pressure was controlled with 3.4 g magnesium and 2437 micrograms nitroglycerin. There were no episodes of hypertension intraoperatively. The patient made an uneventful recovery and delivered a normal baby at 37 wk gestation by caesarean section. CONCLUSION: Anaesthesia for resection of a phaeochromocytoma in early pregnancy can be successfully managed with preoperative alpha and beta sympathetic blockade and a balanced anaesthetic technique using magnesium as the main intraoperative hypotensive agent. |
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Authors:
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A Hamilton; S Sirrs; N Schmidt; J Onrot |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian journal of anaesthesia = Journal canadien d'anesthésie Volume: 44 ISSN: 0832-610X ISO Abbreviation: Can J Anaesth Publication Date: 1997 Jun |
Date Detail:
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Created Date: 1997-07-24 Completed Date: 1997-07-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8701709 Medline TA: Can J Anaesth Country: CANADA |
Other Details:
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Languages: eng Pagination: 654-7 Citation Subset: IM |
Affiliation:
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University of British Columbia Department of Anaesthesia, St Pauls' Hospital, Vancouver, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Gland Neoplasms
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surgery* Adult Anesthesia / methods* Female Humans Infant, Newborn Pheochromocytoma / surgery* Pregnancy Pregnancy Complications, Neoplastic / surgery* |
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