Display options
Cite
Juszczak K, Drewa T. Adrenergic crisis due to pheochromocytoma - practical aspects. A short review. Cent European J Urol. 2014;67(2):153-5doi: 10.5173/ceju.2014.02.art7.
Juszczak, K., & Drewa, T. (2014). Adrenergic crisis due to pheochromocytoma - practical aspects. A short review. Central European journal of urology, 67(2), 153-5. https://doi.org/10.5173/ceju.2014.02.art7
Juszczak, Kajetan, and Drewa, Tomasz. "Adrenergic crisis due to pheochromocytoma - practical aspects. A short review." Central European journal of urology vol. 67,2 (2014): 153-5. doi: https://doi.org/10.5173/ceju.2014.02.art7
Juszczak K, Drewa T. Adrenergic crisis due to pheochromocytoma - practical aspects. A short review. Cent European J Urol. 2014;67(2):153-5. doi: 10.5173/ceju.2014.02.art7. Epub 2014 Jun 23. PMID: 25140229; PMCID: PMC4132602.
Copy Download .nbib Format: NLM
Share it on

Cent European J Urol. 2014;67(2):153-5. doi: 10.5173/ceju.2014.02.art7. Epub 2014 Jun 23.

Adrenergic crisis due to pheochromocytoma - practical aspects. A short review.

Central European journal of urology

Kajetan Juszczak, Tomasz Drewa

Affiliations

  1. Department of Urology, Rydygier Memorial Hospital, Cracow, Poland ; Department of Pathophysiology, Jagiellonian University, Medical College, Cracow, Poland.
  2. Department of Regenerative Medicine, Medical College, Nicolaus Copernicus University, Toru?, Poland ; Department of Urology, Nicolaus Copernicus University, Toru?, Poland.

PMID: 25140229 PMCID: PMC4132602 DOI: 10.5173/ceju.2014.02.art7

Abstract

INTRODUCTION: The definitive therapy in case of pheochromocytoma is complete surgical resection. Improper preoperative assessment and medical management generally places the patient at risk for complications, resulting from an adrenergic crisis. Therefore, it is crucial to adequately optimize these patients before surgery. Optimal preoperative medical management significantly decreases morbidity and mortality during the tumor resection.

MATERIAL AND METHODS: This review addresses current knowledge in pre- and intraoperative assessment of a patient with pheochromocytoma.

RESULTS: Before surgery the patient is conventionally prepared with α-adrenergic blockade (over 10-14 days) and subsequently, additional β-adrenergic blockade is required to treat any associated tachyarrhythmias. In preoperative assessment, it is obligatory to monitor arterial blood pressure, heart rate, and arrhythmias and to restore the blood volume to normal.

CONCLUSIONS: In conclusion, due to the pathophysiological complexity of a pheochromocytoma, the strict cooperation between the cardiologist, endocrinologist, surgeon and the anaesthesiologist for an uneventful outcome should be achieved in patients qualified for the surgical removal of such a tumor.

Keywords: adrenergic crisis; pheochromocytoma; surgery

References

  1. Anaesthesia. 2004 Oct;59(10):1020-2 - PubMed
  2. Anesth Analg. 2000 Nov;91(5):1118-23 - PubMed
  3. J Cardiothorac Vasc Anesth. 2002 Jun;16(3):359-69 - PubMed
  4. World J Surg. 1990 May-Jun;14(3):317-24 - PubMed
  5. Chirurg. 2012 Jun;83(6):551-4 - PubMed
  6. Maturitas. 2014 Mar;77(3):229-38 - PubMed
  7. Br J Anaesth. 2000 Jul;85(1):44-57 - PubMed
  8. Pancreas. 2010 Aug;39(6):775-83 - PubMed
  9. Med Clin North Am. 2003 Jan;87(1):175-92 - PubMed
  10. Cent European J Urol. 2014;66(4):437-9 - PubMed
  11. Surgery. 1989 Dec;106(6):1149-54 - PubMed
  12. Lancet. 1983 Sep 24;2(8352):711-3 - PubMed
  13. Can J Anaesth. 1990 Jul;37(5):593-5 - PubMed
  14. Br J Anaesth. 2003 Mar;90(3):380-2 - PubMed
  15. Cent European J Urol. 2012;65(2):71-4 - PubMed
  16. Curr Ther Endocrinol Metab. 1997;6:195-7 - PubMed
  17. J Clin Endocrinol Metab. 2010 Feb;95(2):678-85 - PubMed
  18. J Pak Med Assoc. 2007 Mar;57(3):140-6 - PubMed
  19. World J Surg. 2006 May;30(5):899-908 - PubMed

Publication Types