Anesthetic Experience with a Case of Bilateral Adrenalectomy for Pheochromocytoma / 대한마취과학회지

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.