Anaesthetic management for caesarean section combined with removal of phaeochromocytoma.
In this case report, the anaesthetic management for a removal of phaeochromocytoma undertaken immediately following Caesarean section is described. A 32-year-old female patients was given epidural anaesthesia for Caesarean section, and thereafter, general anaesthesia for a resection of phaeochromocytoma. During surgery, phentolamine, nitroglycerine and prostaglandin E1 were electively administered to decrease blood pressure and heart rate. A live infant was delivered and the supra-adrenal tumour was excised successfully. The patient's post-operative recovery was uneventful.
Takahashi
K
K
Department of Anaesthesiology, Shiga University Medical Science, Japan.
Sai
Y
Y
Nosaka
S
S
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000328:Adult; D000527:Alprostadil / Q000627:therapeutic use; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects; D002585:Cesarean Section; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008619:Mepivacaine / Q000008:administration & dosage; D008738:Methyl Ethers / Q000008:administration & dosage; D005996:Nitroglycerin / Q000627:therapeutic use; D009609:Nitrous Oxide / Q000008:administration & dosage; D010646:Phentolamine / Q000627:therapeutic use; D010673:Pheochromocytoma / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D000077149:Sevoflurane; D013840:Thiamylal / Q000008:administration & dosage; D014665:Vasodilator Agents / Q000627:therapeutic use
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D000959:Antihypertensive Agents; D008738:Methyl Ethers; D014665:Vasodilator Agents; D013840:Thiamylal; D000077149:Sevoflurane; D008619:Mepivacaine; D000527:Alprostadil; D005996:Nitroglycerin; D009609:Nitrous Oxide; D010646:Phentolamine