Bispectral index monitored balanced anesthesia technique for pheochromocytoma resection

Abstract

Balanced anesthesia under bispectral index monitoring was administered to a child undergoing a pheochromocytoma resection. By titration of anesthesia depth, the stress response during resection could be avoided as well as postresection hypotension, without resort to additional pharmacological manipulation.

Use of methylene blue in pheochromocytoma resection: case report

“…Adequate depth of anesthesia is pivotal in prevention of catastrophic stress‐induced release of catecholamines (3–5). Postisolation hypotension can be refractory to intravascular volume replacement and may necessitate usage of high dose of alpha receptors agonists or vasopressin (6,7).…”