Update in perioperative anesthetic management of pheochromocytoma
Update in perioperative anesthetic management of pheochromocytoma作者机构:Department of Anesthesiology LokNayak Hospital Department of AnesthesiologyPain and Palliative Care All India Institute of Medical Sciences Department of AnesthesiologyPain and Palliative Care All India Institute of Medical Sciences
出 版 物:《World Journal of Anesthesiology》 (世界麻醉学杂志)
年 卷 期:2015年第4卷第3期
页 面:83-90页
学科分类:10[医学]
主 题:Phaeochromocytoma Anaesthesia Surgery Analgesia Drugs
摘 要:Pheochromocytoma is a tumor that originates from eitherchromaffincells in adrenal medulla or in other paraganglia tissues of the sympathetic nervous system. The perioperative management is quite challenging especially in view of hemodynamic fluctuations. Pheochromocytoma is challenging in view of the impact of excessive and depleted catecholamines in the perioperative period. It requires a through preoperative evaluation and optimization with meticulous intraoperative management. The postoperative period requires vigilance to prevent any untoward complication. In this review we review these concepts based on recent evidence for an optimal outcome.