Clinical Evaluation of Anesthetic Management for Pheochromocytoma Following Prazosin Pre-treament / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 188-193, 1991.
Artigo
em Coreano
| WPRIM
| ID: wpr-80192
ABSTRACT
Perioperative management of patients with pheochromocytoma is challenging. Accordingly, proper preoperative preparation is important. Prazosin, a selective alpha I blocker, may offer a potential advantage. This 54-year-old woman was treated with prazosin 2 mg, b.i.d. for 15 days and also with propranolol 20 mg, b.i.d. for a few days intermittently before the proposed surgery. Both symptoms and blood pressure were well controlled effectively. Induction of anesthesia was accomplished with nitrolingual spray, fentanyl 100 ug, 1% idocaine 50 mg, 2.5% thiopental sodium 200 mg, vecuronium 6 mg and 100% O2-enflurane. During the surgical and anesthetic procedure, the patient showed a reduced incidence of excessive blood-pressure variations and no arrhythmia was present except for supraventricular ectopic beats. Conclusively, we believe that careful preoperative preparation is recommended to minimize intraoperative hemodynamic dieturbances and their sequelae.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Feocromocitoma
/
Arritmias Cardíacas
/
Propranolol
/
Tiopental
/
Pressão Sanguínea
/
Brometo de Vecurônio
/
Prazosina
/
Fentanila
/
Incidência
/
Hemodinâmica
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1991
Tipo de documento:
Artigo
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