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Anesthesia for the adult with pheochromocytoma - UpToDate
Sep 12, 2024 · Pheochromocytoma is a rare disorder that presents challenges for the anesthesiologist. By some estimates, 25 to 50 percent of hospital deaths of patients with unmanaged or unknown pheochromocytoma occur during induction of anesthesia or during operative procedures for other conditions [1].
Uptodate.comAnesthesia considerations of pheochromocytoma
Preoperative optimization: Alpha & beta blockade. Restore intravascular volume. Hemodynamic lability & potential for pheochromocytoma crises: Hypertension, tachycardia, arrhythmia, myocardial ischemia. Need for invasive hemodynamic monitoring.
Anesthesiaconsiderations.comPerioperative care of phaeochromocytoma - Oxford Academic
Sep 9, 2015 · Phaeochromocytomas are catecholamine-secreting tumours of the adrenal medulla, while paragangliomas are closely related neuroendocrine tumours arising from extra-adrenal paraganglia, some of which produce catecholamines. In this article, their perioperative management will be considered together.
Academic.oup.comPerioperative Management of Pheochromocytoma - StatPearls - NCBI Bookshelf
Jul 6, 2023 · Anesthesia Management. Patients should be pre-medicated with anti-anxiety medication like midazolam. An arterial line is preferred before induction as induction may result in hemodynamic lability. General anesthesia alone or with an epidural is used for PCC resection.
Ncbi.nlm.nih.govPheochromocytoma resection: Current concepts in anesthetic …
Pheochromocytoma represents very significant challenges to the anesthetist, especially when undiagnosed. These chromaffin tissue tumors are not uncommon in anesthetic practice and have varied manifestations.
Pmc.ncbi.nlm.nih.govPerioperative Management of Pheochromocytoma - Journal of
Apr 6, 2017 · This review focuses on the perioperative management of pheochromocytoma/paragangliomas, initially summarizing the clinical aspects of the disease and then highlighting the current evidence available for preoperative, intraoperative, and postoperative anesthetic management.
Jcvaonline.comCurrent perioperative management of pheochromocytomas - PMC
The most common complication after tumor removal is hypotension which may require fluid therapy and vasopressor support for a few hours. With advancement in surgical and anesthetic techniques, the incidence of severe morbidity and mortality associated with the surgery is low in high volume centers. INTRODUCTION
Pmc.ncbi.nlm.nih.govIndividualized Anesthetic Management of a Patient With Pheochromocytoma
May 6, 2024 · Pheochromocytomas are rare tumors that present a challenge for surgical and anesthetic management due to their ability to produce significant amounts of catecholamines. This case report highlights the successful management of a 49-year-old woman simultaneously diagnosed with neurofibromatosis type 1, pheochromocytoma, and breast cancer.
Ncbi.nlm.nih.govTreatment of pheochromocytoma in adults - UpToDate
Apr 22, 2024 · Resecting a pheochromocytoma is a high-risk surgical procedure and an experienced surgeon/anesthesiologist team is required. Cardiovascular and hemodynamic variables must be monitored closely. Continuous measurement of intraarterial pressure and heart rhythm is required.
Uptodate.comPheochromocytoma | Syndromes: Rapid Recognition and …
Nov 11, 2024 · History and examination, especially finding of paroxysmal or sustained hypertension at a young age. Demonstration of elevated urine catecholamine levels. Symptoms include sweating, palpitations, headache, pallor, vomiting, weight loss, polyuria, polydipsia, and chest pain, which may be cardiac in origin.
Accessanesthesiology.mhmedical.com