Pre-operative management for surgery of pheochromocytoma.
The authors analyze 15 patients who underwent pre-operative management prior to the pheochromocytoma removal. The purpose of this analysis is to evaluate the relation between clinical and haemodynamic criteria evaluating the level of alpha-adrenergic blockade. The authors believe that pre-operative management based on clinical criteria does not necessarily ensure adequate alpha-adrenergic blockade. Invasive monitoring of haemodynamic variables is considered an important strategy for the quantification of actual haemodynamics status of patients with pheochromocytoma.
Májek
M
M
Department of Anaesthesiology and Reanimation, Derer Hospital, Bratislava, Slovak Republic.
Kula
R
R
Zvara
V
V
Breza
J
J
D000310:Adrenal Gland Neoplasms / Q000503:physiopathology / Q000601:surgery*; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use*; D000328:Adult; D001794:Blood Pressure / Q000187:drug effects; D001810:Blood Volume / Q000187:drug effects; D002302:Cardiac Output / Q000187:drug effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic; D010673:Pheochromocytoma / Q000503:physiopathology / Q000601:surgery*; D011300:Preoperative Care; D011669:Pulmonary Wedge Pressure / Q000187:drug effects; D011942:Receptors, Adrenergic, alpha / Q000187:drug effects / Q000502:physiology; D014655:Vascular Resistance / Q000187:drug effects
D000317:Adrenergic alpha-Antagonists; D011942:Receptors, Adrenergic, alpha