Document Detail


Anesthesia management with short acting agents for bilateral pheochromocytoma removal in a 12-year-old boy.
MedLine Citation:
PMID:  17040309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 12-year-old boy with bilateral adrenal pheochromocytoma pretreated with furosemide, nifedipine, prazosin, and propranolol underwent surgical removal of the tumors. General anesthesia with desflurane, remifentanil infusion and thoracic epidural analgesia was performed. To control the blood pressure (BP), remifentanil up to 1 microg.kg(-1).min(-1) infusion rate, sodium nitroprusside, and esmolol infusions were administered successfully. Following the ligation of the adrenal veins, hemodynamic parameters were stable and neither inotropic support nor corticosteroid replacement was required. We concluded that remifentanil-based anesthesia combined with low-dose desflurane and thoracic epidural analgesia may reduce the need for vasoactive drugs in the anesthesia management of pheochromocytoma. This combination may not prevent the hemodynamic fluctuations during tumor manipulation, but appears to facilitate a rapid and stable postoperative recovery.
Authors:
Mefkur Bakan; Guner Kaya; Serpil Cakmakkaya; Burcu Tufanogullari
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  16     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-10-16     Completed Date:  2007-01-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  1184-8     Citation Subset:  IM    
Affiliation:
Cerrahpasa Medical Faculty, Department of Anesthesiology and Reanimation, Istanbul University, Istanbul, Turkey. mefkur@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / surgery*
Adrenergic beta-Antagonists / administration & dosage
Anesthesia, Epidural
Anesthesia, General / methods*
Anesthetics, Inhalation*
Anesthetics, Intravenous*
Antihypertensive Agents / administration & dosage
Blood Pressure*
Child
Humans
Isoflurane / analogs & derivatives
Male
Nitroprusside / administration & dosage
Pheochromocytoma / surgery*
Piperidines
Propanolamines / administration & dosage
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anesthetics, Inhalation; 0/Anesthetics, Intravenous; 0/Antihypertensive Agents; 0/Piperidines; 0/Propanolamines; 132875-61-7/remifentanil; 15078-28-1/Nitroprusside; 26675-46-7/Isoflurane; 57041-67-5/desflurane; 84057-94-3/esmolol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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