Haemodynamic monitoring during resection of a phaeochromocytoma. A case report.
A 24-year-old woman underwent resection of a phaeochromocytoma. Invasive haemodynamic monitoring was undertaken. Pre-operative alpha-blockade was not instituted and the blood pressure fluctuated widely. The pulmonary capillary wedge pressure and central venous pressure measurements did not correlate well in this patient. Possible reasons for this discrepancy, the value of the pulmonary artery catheter and the advisability of pre-operative alpha-blockade are discussed.
D000310:Adrenal Gland Neoplasms / Q000503:physiopathology / Q000601:surgery*; D000328:Adult; D002496:Central Venous Pressure; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000503:physiopathology / Q000601:surgery*; D011300:Preoperative Care; D011669:Pulmonary Wedge Pressure