Anesthetic management for pheochromocytoma resection using spinal cord stimulation and intravenous nicardipine--a case report.
We have used spinal cord stimulation (SCS), diazepam and nitrous oxide for maintenance of general anesthesia. Blood pressure was maintained by bolus administration of nicardipine for the removal of pheochromocytoma. Both SCS and nicardipine reduced systemic vascular resistance and SCS increased cardiac output. However, neither SCS nor nicardipine could inhibit the release of norepinephrine. SCS proved to be useful as one of anesthetic technique during the removal of pheochromocytoma, and also in the management of postoperative pain and the prevention of complications.
Shiraishi
M
M
Department of Anesthesiology, Juntendo University Urayasu Hospital, Chiba, Japan.
Hanzawa
K
K
Motoyama
Y
Y
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000328:Adult; D000758:Anesthesia / Q000379:methods*; D001794:Blood Pressure / Q000187:drug effects; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D009529:Nicardipine / Q000627:therapeutic use*; D010673:Pheochromocytoma / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D013116:Spinal Cord / Q000502:physiology*
D002121:Calcium Channel Blockers; D009529:Nicardipine