Perioperative management of pheochromocytoma: anaesthetic implications.
Pheochromocytoma is a catecholamine producing tumour that can cause severe hypertension and other systemic disturbances. The perioperative management of pheochromocytoma remains a complicated anaesthesia challenge requiring intensive preoperative preparation and vigilant intraoperative and postoperative care. In this article the perioperative management of pheochromocytoma is reviewed by first summarizing its pathophysiology, clinical aspects and diagnosis, then highlighting the preoperative optimization of the patient and finally describing the intraoperative and postoperative anaesthetic management in the light of the current information.
Ahmed
Aliya
A
Department of Anaesthesia, Aga Khan University Hospital, Karachi.
D000310:Adrenal Gland Neoplasms / Q000188:drug therapy* / Q000601:surgery; D000315:Adrenalectomy; D018674:Adrenergic Antagonists / Q000627:therapeutic use*; D000758:Anesthesia / Q000379:methods*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D002395:Catecholamines / Q000097:blood / Q000378:metabolism; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D010673:Pheochromocytoma / Q000097:blood / Q000175:diagnosis / Q000628:therapy; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis
D018674:Adrenergic Antagonists; D000959:Antihypertensive Agents; D002395:Catecholamines