RESUMO
A retrospective assessment is made of 25 cases of pheochromocytoma operated between 1970 and 1979. Three of the more complicated cases are discussed in detail. Actual and potential complications are described and a form of monitoring is proposed. The conclusion is expressed that correction of the pathological haemodynamic situation by expansion of the blood volume and the administration of alpha and beta blocking agents is of greater consequence in successful management than the anaesthesiological technique employed.
Assuntos
Neoplasias das Glândulas Suprarrenais/cirurgia , Anestesia , Feocromocitoma/cirurgia , Cuidados Pré-Operatórios , Adolescente , Neoplasias das Glândulas Suprarrenais/fisiopatologia , Adulto , Criança , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Feocromocitoma/fisiopatologiaRESUMO
A survey of a series of caesarean section done under general anesthesia with the aid of muscle relaxation obtained by repeated doses of d-tubocurarine evidenced a tendency to worsen the Apgar index. In the light of the cases and from the literature some hypotheses are here discussed; the most reliable are based upon the fact that injections of the curare before the plasma half life of the drug end by increasing the materno foetal gradients permitting the transplacentar passage of the d-tubocurarine.