title: Perioperative Management of Severe Hypertension during Laparoscopic Surgery for Pheochromocytoma.
abstract: Phaeochromocytoma is a catecholamine-secreting vascular tumour that is derived from chromaffin cell. Lethal cardiovascular complications, such as serious hypertension, myocardial infarction and aortic dissection, may occur because of uncontrolled catecholamine release. Each stage of anaesthesia management has vital importance because of this destructive catecholamine secretion that may occur during induction, perioperative stage and surgical manipulation. In this study, we report regarding the preoperative preparation and severe, persistent hypertension attack management with a combination of α-adrenergic blockade, β-adrenergic blockade, sodium nitroprusside and remifentanil in a patient who underwent laparoscopic surgery for phaeochromocytoma.
authors.affiliation: Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Erdoğan
authors.affiliation: Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Muharrem
authors.initials: M
authors.lastname: Uçar
authors.affiliation: Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Ahmet Selim
authors.initials: AS
authors.lastname: Özkan
authors.affiliation: Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Ülkü
authors.initials: Ü
authors.lastname: Özgül
authors.affiliation: Department of Anaesthesiology and Reanimation, İnönü University School of Medicine, Turgut Özal Medical Center, Malatya, Turkey.
authors.forename: Mahmut
authors.initials: M
authors.lastname: Durmuş
keywords: Phaeochromocytoma; anaesthesia; hypertension