Korean J Anesthesiol.  1990 Dec;23(6):1027-1035. 10.4097/kjae.1990.23.6.1027.

Anesthetic Experience with a Case of Bilateral Adrenalectomy for Pheochromocytoma

• Ahn BW
• Lee GY
• Lee CH

• KMID: 2237161
• DOI: http://doi.org/10.4097/kjae.1990.23.6.1027

Abstract

An anesthetic experience with bilateral adrenalectomy for pheochromocytoma in an 26-year-old male has been reported. The patient was treated with phenoxybenzamine and propranol for about five weeks His blood pressure was 160/100 mmHg, pulse rate was 92 beats/min. Following induetion of an anesthesia with intravenous diazepam, thiopental sodium, morphine, and sodium nitroprusside infusion, vecuronium was administered intravenously, and endotracheal intubation was performed. Anesthesia was maintained with nitrous oxide, oxide (50%~50%) and isoflurane (0.5~3%) using a semiclosed circle system. For the control of blood pressure during surgical manipulation, we used sodium nitroprusside and phentolamine infusion. After tumor resection, blood pressure was controlled by intravenous Hartmans solution and whole blood. The patient tolerated anesthesia and surgery well despite the episodic hemodynamic changes.

Keyword

Bilateral adrenalectomy; Pheochromocytoma

MeSH Terms

Adrenalectomy*
Adult
Anesthesia
Blood Pressure
Diazepam
Heart Rate
Hemodynamics
Humans
Intubation, Intratracheal
Isoflurane
Male
Morphine
Nitroprusside
Nitrous Oxide
Phenoxybenzamine
Phentolamine
Pheochromocytoma*
Thiopental
Vecuronium Bromide
Diazepam
Isoflurane
Morphine
Nitroprusside
Nitrous Oxide
Phenoxybenzamine
Phentolamine
Thiopental
Vecuronium Bromide