Anesthesia for Pheochromocytoma in a Surgically Anephric Child

Vilà, R.; Miguel, Enrique; Martínez, Vicente; Díaz, María C.; Nieto, Jose C.; Potau, Neus

doi:10.1097/00000539-199711000-00014

Cited by 8 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The occurrence of pheochromocytoma in long‐term hemodialysis patients (LHP) is quite rare, and only 15 cases have been reported in the English literature since 2001 1–15 . The diagnosis of pheochromocytoma in LHP is difficult due to several metabolic changes associated in hemodialysis patients.…”

Section: Introductionmentioning

confidence: 99%

Incidentally discovered pheochromocytoma in long‐term hemodialysis patients

et al. 2002

View full text Add to dashboard Cite

Two cases of pheochromocytoma incidentally discovered in long-term hemodialysis patients are reported. Case 1 was a 47-year-old-man who had been receiving hemodialysis for 18 years. Case 2 was a 33-year-old woman who had been receiving hemodialysis for 12 years. Both cases were normotensive, and no specific symptoms suggesting pheochromocytoma were seen. Plasma norepinephrine (NE) levels were not elevated in both cases; however, the level of epinephrine (E) was double the normal range in Case 2. After surgery, plasma E level returned to the normal range in Case 2; however, the level of NE remained almost the same as the preoperative value in both cases. Plasma catecolamine levels in long-term hemodialysis patients with pheochromocytoma are reviewed in the present report, and the efficacy of imaging methods in the diagnosis of pheochromocytoma are discussed.

show abstract

Section: Introductionmentioning

confidence: 99%

Incidentally discovered pheochromocytoma in long‐term hemodialysis patients

et al. 2002

View full text Add to dashboard Cite

show abstract

“…As previously reported by Vila et al . (12), the current case also suggested that sympathetic blockade up to T4 by epidural anesthesia may inhibit innervation of the adrenal medulla, but does not protect the catecholamine release by surgical manipulation.…”

Section: Discussionmentioning

confidence: 59%

“…In most of the pediatric reports, sodium nitroprusside was used as the drug of first choice for intraoperative control of hypertension during pheochromocytoma surgery (1). Also, the use of esmolol or magnesium sulfate has been reported in a few pediatric cases (12,13,14). In our case, a relatively lower infusion rate of esmolol was effective.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia management with short acting agents for bilateral pheochromocytoma removal in a 12‐year‐old boy

Bakan

Kaya

Çakmakkaya

et al. 2006

Pediatric Anesthesia

View full text Add to dashboard Cite

A 12-year-old boy with bilateral adrenal pheochromocytoma pretreated with furosemide, nifedipine, prazosin, and propranolol underwent surgical removal of the tumors. General anesthesia with desflurane, remifentanil infusion and thoracic epidural analgesia was performed. To control the blood pressure (BP), remifentanil up to 1 microg.kg(-1).min(-1) infusion rate, sodium nitroprusside, and esmolol infusions were administered successfully. Following the ligation of the adrenal veins, hemodynamic parameters were stable and neither inotropic support nor corticosteroid replacement was required. We concluded that remifentanil-based anesthesia combined with low-dose desflurane and thoracic epidural analgesia may reduce the need for vasoactive drugs in the anesthesia management of pheochromocytoma. This combination may not prevent the hemodynamic fluctuations during tumor manipulation, but appears to facilitate a rapid and stable postoperative recovery.

show abstract

“…A MEDLINE search (1966-mid 2000) resulted in 15 case reports of pheochromocytoma in ESRD. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The usual screening test involving a 24-hour urinary collection for metanephrines and catecholamines is useless in anuric/oliguric patients. Clouding the issue is the fact that many patients with ESRD are hypertensive due to their renal disease.…”

Section: Discussionmentioning

confidence: 99%