[Anesthetic management of a child with pheochromocytoma using sevoflurane, diltiazem and continuous epidural blockade].
A 13-year-old girl with pheochromocytoma was anesthetized for the resection of the tumor. We selected sevoflurane as an inhalation anesthetic in combination with continuous epidural blockade. We administered diltiazem mainly to control hypertension but severe hypertension during the manipulation of the tumor was difficult to control. However, systemic vascular resistance was maintained at a low level and there was no arrhythmia during surgery. This report suggests that the use of diltiazem provides a stable hemodynamic condition for the removal of pheochromocytoma.
Takahashi
K
K
Department of Anesthesiology, Shiga University of Medical Science.
Hirata
K
K
Tanaka
M
M
Shigemori
S
S
Sai
Y
Y
Nosaka
S
S
D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000767:Anesthesia, Epidural / Q000379:methods*; D018685:Anesthetics, Inhalation; D004110:Diltiazem; D004987:Ethers; D005260:Female; D006801:Humans; D008738:Methyl Ethers; D010673:Pheochromocytoma / Q000601:surgery*; D000077149:Sevoflurane
D018685:Anesthetics, Inhalation; D004987:Ethers; D008738:Methyl Ethers; D000077149:Sevoflurane; D004110:Diltiazem