Was a hypertensive crisis in a patient with pheochromocytoma caused by rocuronium?: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 249-253, 2009.
Article
in English
| WPRIM
| ID: wpr-176385
ABSTRACT
Pheochromocytoma is an uncommon tumor that originates in the adrenal medulla or in other paraganglia of the sympathetic nervous system. If a hypertensive crisis occurs during general anesthesia in incidental or untreated pheochromocytoma, it is a life-threatening event with a mortality rate of about 80%. Anesthetic drugs such as pancuronium, atracurium, and metoclopromide can exacerbate the potentially lethal cardiovascular effects of catecholamines. We report a case of a patient with pheochromocytoma who display abrupt increases in systolic arterial pressure and plasma norepinephrine following rocuronium administration. This case indicates the possible involvement of elevated sympathetic nervous system to a catecholamine crisis triggered by rocuronium in pheochromocytoma.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancuronium
/
Pheochromocytoma
/
Plasma
/
Sympathetic Nervous System
/
Atracurium
/
Catecholamines
/
Norepinephrine
/
Adrenal Medulla
/
Arterial Pressure
/
Androstanols
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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