Display options
Cite
Murata K, Sodeyama O, Ikeda K, et al. Prevention of hypertensive crisis with ATP during anesthesia for pheochromcytoma. J Anesth. 1987;1(2):162-7doi: 10.1007/s0054070010162.
Murata, K., Sodeyama, O., Ikeda, K., & Fukunaga, A. F. (1987). Prevention of hypertensive crisis with ATP during anesthesia for pheochromcytoma. Journal of anesthesia, 1(2), 162-7. https://doi.org/10.1007/s0054070010162
Murata, K, et al. "Prevention of hypertensive crisis with ATP during anesthesia for pheochromcytoma." Journal of anesthesia vol. 1,2 (1987): 162-7. doi: https://doi.org/10.1007/s0054070010162
Murata K, Sodeyama O, Ikeda K, Fukunaga AF. Prevention of hypertensive crisis with ATP during anesthesia for pheochromcytoma. J Anesth. 1987 Sep 01;1(2):162-7. doi: 10.1007/s0054070010162. PMID: 15235853.
Copy Download .nbib Format: NLM
Share it on

J Anesth. 1987 Sep 01;1(2):162-7. doi: 10.1007/s0054070010162.

Prevention of hypertensive crisis with ATP during anesthesia for pheochromcytoma.

Journal of anesthesia

K Murata, O Sodeyama, K Ikeda, A F Fukunaga

Affiliations

  1. Department of Anesthesiology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

PMID: 15235853 DOI: 10.1007/s0054070010162

Abstract

In the anesthetic management of five patients undergoing excision of pheochromocytoma, adenosine triphosphate (ATP) was used for the purpose of regulating systemic arterial pressure during the period of tumor manipulation. ATP was administered at doses of 0.05-0.4 mg/kg/min. Systemic arterial pressure showed a significant decrease from 162 +/- 17/103 +/- 11 mmHg before manipulation to 136 +/- 21/81 +/- 10 mmHg during the manipulation period. The plasma catecholamine levels showed significant increases in this period. Immediately after excision, the systemic arterial pressure was maintained at normal levels (118 +/- 13/75 +/- 16 mmHg) by fluid replacement and discontinuation of ATP administration, subsequently becoming 129 +/- 19/79 +/- 16 mmHg. The heart rate was very stable and tachycardia did not occur during the manipulation period. Only one arrhythmic episode occurred in one patient. The systemic vascular resistance index was significantly lower during the manipulation period than before it. It was therefore considered that ATP was useful as an agent for controlling arterial pressure during the anesthesia for pheochromocytoma.

References

  1. Can Anaesth Soc J. 1967 Jan;14(1):39-43 - PubMed
  2. Biochem Pharmacol. 1980 Jun 15;29(12):1635-43 - PubMed
  3. Anesth Analg. 1982 Mar;61(3):273-8 - PubMed
  4. Pflugers Arch. 1977 Nov 25;372(1):29-35 - PubMed
  5. Br J Anaesth. 1984 Jul;56(7):781-9 - PubMed
  6. Circ Res. 1977 Feb;40(2):208-15 - PubMed
  7. Anesthesiology. 1984 Oct;61(4):400-5 - PubMed
  8. Anesth Analg. 1982 May;61(5):423-9 - PubMed
  9. Anesthesiology. 1967 May-Jun;28(3):575-82 - PubMed
  10. Br J Anaesth. 1977 Oct;49(10):991-8 - PubMed
  11. Can Anaesth Soc J. 1977 May;24(3):353-60 - PubMed
  12. Can Anaesth Soc J. 1982 Mar;29(2):108-11 - PubMed

Publication Types