Case SeriesPheochromocytoma is a catecholamine-producing tumor derived from the sympathoadrenal system. Complete tumor removal is the main therapeutic goal. The perioperative objective is to avoid adrenergic crisis during anesthesia induction, laryngoscopy, and tumor manipulation. This case series reported three patients with pheochromocytoma; in which all of them had severe hypertension history. The first patient had a significant cathecholamine increase in the 24 hours urine and a wide blood pressure range (between 80–140/40–90 mmHg). The heart rate also varied (80–100x/minute) intraoperatively. The second patient had a blood pressure increase up to 200/100 mmHg during anesthesia induction. The thirs patient had a significant cathecholamine increase in the 24 hours urine and a blood pressure increase up to 220/100 mmHg during anesthesia induction. After operation, all patients were extubated and admitted to ICU before going home. Pheochromocytoma is a catecholamine-producing tumor which may be lethal if not properly treated. Catecholamine release during anesthesia may happen during induction, laryngoscopy and tumor manipulation. Preoperative pharmacological intervention, intraoperative monitoring, and balanced between vasodilatation and vasoconstriction during surgery are essential in pheochromocytoma perioperative management.
|Journal||Majalah Anestesia dan Critical Care|
|Publication status||Published - 2016|