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

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 o...

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Autores principales: Ozer, Ayse Belin, Demirel, Ismail, Duzgol, Ozgur, Ayten, Refik, Erhan, Omer Lutfi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268506/
https://www.ncbi.nlm.nih.gov/pubmed/25538499
http://dx.doi.org/10.4103/1658-354X.144088
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author Ozer, Ayse Belin
Demirel, Ismail
Duzgol, Ozgur
Ayten, Refik
Erhan, Omer Lutfi
author_facet Ozer, Ayse Belin
Demirel, Ismail
Duzgol, Ozgur
Ayten, Refik
Erhan, Omer Lutfi
author_sort Ozer, Ayse Belin
collection PubMed
description 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.
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spelling pubmed-42685062014-12-23 Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker Ozer, Ayse Belin Demirel, Ismail Duzgol, Ozgur Ayten, Refik Erhan, Omer Lutfi Saudi J Anaesth Case Report 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. Medknow Publications & Media Pvt Ltd 2014-11 /pmc/articles/PMC4268506/ /pubmed/25538499 http://dx.doi.org/10.4103/1658-354X.144088 Text en Copyright: © Saudi Journal of Anaesthesia 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 Case Report
Ozer, Ayse Belin
Demirel, Ismail
Duzgol, Ozgur
Ayten, Refik
Erhan, Omer Lutfi
Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title_full Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title_fullStr Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title_full_unstemmed Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title_short Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
title_sort management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4268506/
https://www.ncbi.nlm.nih.gov/pubmed/25538499
http://dx.doi.org/10.4103/1658-354X.144088
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