Anaesthetic management of patient with pheochromocytoma for laparoscopic adrenalectomy

Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 5, Issue 3

Abstract

Pheochromocytoma is a neuroendocrine tumor of the medulla of the adrenal glands (originating in the chromaffin cells), or extra-adrenal chromaffin tissue that failed to involute after birth,1 that secretes high amounts of catecholamines, mostly norepinephrine, plus epinephrine to a lesser extent.2 Extra-adrenal paragangliomas (often described as extraadrenal pheochromocytomas) are closely related, though less common, tumors that originate in the ganglia of the sympathetic nervous system and are named based upon the primary anatomical site of origin. We report a case of a 42 year old hypertensive patient who presented with abdominal pain and was diagnosed to have left adrenal mass Pheochromocytoma, Hypertension, Type 2 DM, Acute Kidney Injury, Coronary artery disease with moderate LV dysfunction.

Authors and Affiliations

Shashidhar Matam, Mohsin Wazir, Ashwini K Ukey

Keywords

Related Articles

Facilitatory effects of IV dexmedetomidine on spinal anaesthesia in patients undergoing elective orthopaedic surgery involving lower limb

Background: Spinal anaesthesia is at low cost, a surgery of up to two hours duration can be performed.The greatest challenge of the technique is to control the spread of the local anaesthetic through the cerebrospinal fl...

Clinical efficacy of isobaric ropivacaine alone, ropivacaine-fentanyl and ropivacaine-dexmedetomidine in spinal anaesthesia for vaginal hysterectomy: A prospective randomized double-blind comparative study

Background: Around 40% of parous woman have problem of Pelvic organ prolapsed (POP) and it effects their life quality. Regional anaesthesia has good patient and surgeon acceptability as well as early discharge of the pat...

Tramadol in perioperative shivering in patients undergoing caesrean section under regional anaesthesia

Background: Shivering can be unpleasant and physiologically stressful for the patients. The incidence of post-operative shivering is more in obstetric patients. Many physical and pharmacological interventions are used to...

Hemodynamic changes and post-operative complications with use of caudal bupivacaine and bupivacaine-dexmedetomidine combination for post-operative analgesia

Background: Caudal anaesthesia is a commonly performed regional block in children for abdominal and lower limb surgeries. The use of adjuncts like Dexmedetomidine can effectively help in reduction of the dose and an incr...

Dexmedetomidine as an adjuvant to ropivacaine in supra-clavicular brachial plexus block

Background and Aim: The advantages of a supraclavicular technique over other brachial plexus block approaches are its rapid onset and complete and predictable anesthesia for entire upper extremity and particularly, hand...

Download PDF file
  • EP ID EP365456
  • DOI -
  • Views 190
  • Downloads 0

How To Cite

Shashidhar Matam, Mohsin Wazir, Ashwini K Ukey (2018). Anaesthetic management of patient with pheochromocytoma for laparoscopic adrenalectomy. Medpulse International Journal of Anesthesiology, 5(3), 79-82. https://europub.co.uk/articles/-A-365456