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Ozer AB, Demirel I, Duzgol O, et al. Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker. Saudi J Anaesth. 2014;8:S105-8doi: 10.4103/1658-354X.144088.
Ozer, A. B., Demirel, I., Duzgol, O., Ayten, R., & Erhan, O. L. (2014). Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker. Saudi journal of anaesthesia, 8S105-8. https://doi.org/10.4103/1658-354X.144088
Ozer, Ayse Belin, et al. "Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker." Saudi journal of anaesthesia vol. 8 (2014): S105-8. doi: https://doi.org/10.4103/1658-354X.144088
Ozer AB, Demirel I, Duzgol O, Ayten R, Erhan OL. Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker. Saudi J Anaesth. 2014 Nov;8:S105-8. doi: 10.4103/1658-354X.144088. PMID: 25538499; PMCID: PMC4268506.
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Saudi J Anaesth. 2014 Nov;8:S105-8. doi: 10.4103/1658-354X.144088.

Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker.

Saudi journal of anaesthesia

Ayse Belin Ozer, Ismail Demirel, Ozgur Duzgol, Refik Ayten, Omer Lutfi Erhan

Affiliations

  1. Department of Anesthesiology and Reanimation, Faculty of Medicine, Firat University, Elazig 23119, Turkey.
  2. Department of General Surgery, Faculty of Medicine, Firat University, Elazig 23119, Turkey.

PMID: 25538499 PMCID: PMC4268506 DOI: 10.4103/1658-354X.144088

Abstract

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.

Keywords: Adrenergic beta-antagonists; anesthesia; general; pheochromocytoma

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