Cargando…
Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist
Pheochromocytoma is a rare catecholamine secreting tumor arising commonly from adrenal medulla. It has got multidimensional challenging aspects in spite of our improved understanding of its physiological and clinical behavior during surgical resection. This neuroendocrine tumor is associated with a...
Autores principales: | , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3230104/ https://www.ncbi.nlm.nih.gov/pubmed/22145137 http://dx.doi.org/10.4103/2230-8210.86977 |
_version_ | 1782218034023235584 |
---|---|
author | Bajwa, SukhminderJit Singh Bajwa, Sukhwinder Kaur |
author_facet | Bajwa, SukhminderJit Singh Bajwa, Sukhwinder Kaur |
author_sort | Bajwa, SukhminderJit Singh |
collection | PubMed |
description | Pheochromocytoma is a rare catecholamine secreting tumor arising commonly from adrenal medulla. It has got multidimensional challenging aspects in spite of our improved understanding of its physiological and clinical behavior during surgical resection. This neuroendocrine tumor is associated with a most unpredictable and fluctuating clinical course during anesthesia and surgical intervention. The clinical difficulties and challenges increase manifold in patients with undiagnosed or accidental diagnosis of pheochromocytoma who present to the hospital for the treatment of some other disease or emergency. The most common manifestations of this clinical spectrum include hypertension, headache, palpitations, episodic sweating, and feeling of doom. The definite and only treatment for this rare tumor is surgical resection which itself is very challenging for an anesthesiologist. This article reviews the pre-operative evaluation, pharmacological preparation, intraoperative and post-operative management of patients with pheochromocytoma especially from anesthesiologist's perspectives. |
format | Online Article Text |
id | pubmed-3230104 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-32301042011-12-05 Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist Bajwa, SukhminderJit Singh Bajwa, Sukhwinder Kaur Indian J Endocrinol Metab Review Article Pheochromocytoma is a rare catecholamine secreting tumor arising commonly from adrenal medulla. It has got multidimensional challenging aspects in spite of our improved understanding of its physiological and clinical behavior during surgical resection. This neuroendocrine tumor is associated with a most unpredictable and fluctuating clinical course during anesthesia and surgical intervention. The clinical difficulties and challenges increase manifold in patients with undiagnosed or accidental diagnosis of pheochromocytoma who present to the hospital for the treatment of some other disease or emergency. The most common manifestations of this clinical spectrum include hypertension, headache, palpitations, episodic sweating, and feeling of doom. The definite and only treatment for this rare tumor is surgical resection which itself is very challenging for an anesthesiologist. This article reviews the pre-operative evaluation, pharmacological preparation, intraoperative and post-operative management of patients with pheochromocytoma especially from anesthesiologist's perspectives. Medknow Publications & Media Pvt Ltd 2011-10 /pmc/articles/PMC3230104/ /pubmed/22145137 http://dx.doi.org/10.4103/2230-8210.86977 Text en Copyright: © Indian Journal of Endocrinology and Metabolism http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Bajwa, SukhminderJit Singh Bajwa, Sukhwinder Kaur Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title | Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title_full | Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title_fullStr | Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title_full_unstemmed | Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title_short | Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist |
title_sort | implications and considerations during pheochromocytoma resection: a challenge to the anesthesiologist |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3230104/ https://www.ncbi.nlm.nih.gov/pubmed/22145137 http://dx.doi.org/10.4103/2230-8210.86977 |
work_keys_str_mv | AT bajwasukhminderjitsingh implicationsandconsiderationsduringpheochromocytomaresectionachallengetotheanesthesiologist AT bajwasukhwinderkaur implicationsandconsiderationsduringpheochromocytomaresectionachallengetotheanesthesiologist |