[Esmolol to control hemodynamic response during removal of a bilateral pheochromocytoma from a 10-year-old girl].
Pheochromocytomas, which derive from chromaffin cells, can secrete catecholamines in large amounts. The incidence of these tumors is low at 2 to 8 cases per million population and only 10% of cases occur in children. A thorough understanding of the pathophysiology of these tumors and the consequent effect of drugs will be necessary for treating these patients during the perioperative period. A great deal has been published on drugs that can be used in this setting, but only a small portion of the information is relevant to children. Esmolol, a short-action beta-blocker, figures among the drugs that have been developed in recent years. We report a case in which esmolol was used during surgery in a 10-year-old girl undergoing scheduled removal of a bilateral pheochromocytoma.
Rodríguez González
O
O
Servicio de Anestesia y Reanimación, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife. ostegues@hotmail.com
Amador García
I
I
Martín Iglesias
A
A
Rodríguez Germa
I
I
Besada Estévez
J C
JC
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D002648:Child; D005260:Female; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D010673:Pheochromocytoma / Q000601:surgery*; D011412:Propanolamines / Q000627:therapeutic use*
D000319:Adrenergic beta-Antagonists; D011412:Propanolamines; C036604:esmolol