Open AccessManagement of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
Author(s) -
Ayşe Belin Özer,
İsmail Demirel,
Ozgur Duzgol,
Refik Ayten,
Ömer Lütfi Erhan
Publication year - 2014
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.144088
Subject(s) - medicine , remifentanil , anesthesia , propofol , blood pressure , pheochromocytoma , furosemide , esmolol , abdominal surgery , surgery , heart rate
An operation was planned for a female patient aged 59 for intra-abdominal mass. The patient was using nebivolol for hypertension. Blood pressure (BP) of the patient was raised to 200/130 mmHg during anesthesia induction. BP was gradually reduced by remifentanil infusion. Following the manipulation of the mass, BP began to increase (225/160 mmHg), thus nitroglycerin and followed nitroprusside infusion was started. Propofol (200 + 200 mg) and furosemide (20 mg) were administered intravenously. BP suddenly dropped (90/60 mmHg) following the removal of the mass, nitroglycerine, and nitroprusside infusions were stopped; remifentanil dose was decreased and fluid was quickly infused. The patient was uneventually recovered. Vanilmandelic acid level was higher in the patient and pheochromocytoma was considered.