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Perioperative considerations in patients with adrenal tumors
Author(s) -
Phitayakorn Roy,
McHenry Christopher R.
Publication year - 2012
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23129
Subject(s) - medicine , pheochromocytoma , perioperative , adenoma , blood pressure , adrenocortical adenoma , surgery , aldosterone , general surgery , intensive care medicine
In this article the pre‐operative, intraoperative, and post‐operative management of patients with pheochromocytoma, aldosterone‐producing adenoma, cortisol‐producing tumors, and adrenal cortical carcinoma are reviewed. A detailed plan for pre‐operative assessment and medical optimization is discussed. The potential intraoperative and post‐operative complications that occur in patients with an adrenal tumor are reviewed with emphasis on recognition, treatment and prevention. Recommendations for anesthetic management, intraoperative and post‐operative monitoring, blood pressure management, laboratory analysis and medication adjustments are presented. J. Surg. Oncol. 2012; 106:604–610. © 2012 Wiley Periodicals, Inc.