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.
“…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).…”
We report the use of intravenous Methylene blue to treat the hypotension occurring following adrenal vein ligation in a case of pheochromocytoma resection in a child. The potential benefits and problems, including correct dosage, are discussed.
“…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).…”
We report the use of intravenous Methylene blue to treat the hypotension occurring following adrenal vein ligation in a case of pheochromocytoma resection in a child. The potential benefits and problems, including correct dosage, are discussed.
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