Anesthetic management for percutaneous computed tomography-guided radiofrequency ablation of reninoma: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 78-82, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-73836
ABSTRACT
A reninoma is an uncommon, benign, renin-secreting juxtaglomerular cell tumor that causes secondary hypertension in young patients. This hypertension is treated by tumor resection. Except for increased levels of plasma renin and angiotensin I and II, the other physical and laboratory examinations and electrocardiographs were within normal limits upon admission of a 19-year-old woman with a reninoma. For percutaneous computed tomography-guided radiofrequency ablation, general anesthesia was induced by thiopental sodium and rocuronium bromide and maintained with servoflurane (2-4 vol%) and oxygen. The operation ended uneventfully in hemodynamic stability. However, the patient complained of dizziness while sitting 5 hours after the operation, and hypotension was diagnosed. After aggressive normal saline (1 L) infusion over 30 min, the hypotension was corrected and the patient recovered without any other surgical complications. Here, we report the anesthetic management of a patient who underwent percutaneous computed tomography-guided radiofrequency ablation for reninoma destruction, particularly focusing on postoperative hypotension.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Plasma
/
Tiopental
/
Angiotensina I
/
Renina
/
Ablación por Catéter
/
Mareo
/
Electrocardiografía
/
Hemodinámica
/
Hipertensión
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2015
Tipo del documento:
Artículo
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