Epidural anaesthesia for insertion of a femoral neck prosthesis in a patient with phaeochromocytoma.
A hemiarthroplasty for femoral neck fracture was successfully performed under combined epidural anaesthesia and light general anaesthesia before phaeochromocytoma removal. Pre-operative therapy was managed with doxazosin, enalapril and diltiazem. Peri-operative management facilitated maintenance of stable haemodynamic conditions. Post-operative pain management was provided with continuous 1% lignocaine infusion via an epidural catheter. The phaeochromocytoma was finally removed uneventfully 7 weeks after hemiarthroplasty.
Kato
T
T
Department of Anesthesiology, Toyokawa City Hospital, 1-19 Komei-cho, Toyokawa, Aichi 442, Japan.
Takase
H
H
Waguri
Y
Y
Ikeda
K
K
Takahashi
M
M
D000310:Adrenal Gland Neoplasms / Q000150:complications*; D000767:Anesthesia, Epidural; D002395:Catecholamines / Q000097:blood / Q000652:urine; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications*; D019919:Prosthesis Implantation
D002395:Catecholamines