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KMID : 0356919940270081001
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Korean Journal of Anesthesiology
1994 Volume.27 No. 8 p.1001 ~ p.1008
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Anesthetia for Pheochromocytoma Resection
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권욱환
유지녕/김영생/조성두/송남원
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Abstract
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Two patients underwent anesthesia for pheochromocytoma involving adrenal gland and extraadrenal space Patient 1 was not diagnosed as pheochromocytoma before surgery and thus proper preoperative evaluation and care was not possible. During surgery
and
anesthesia, the patients showed a marked blood pressure variation, arrythmia and tachycardia. Pulmonary edema occur3rred intraoperatively, but subsided with positive end expiratory pressure and the use of diuretics and morphine. Patient 2 was
preoperatively diagnosed as pheochromocytoma and was thus given prazosin and nifedipine (for 11 days) preoperatively. Blood pressure and pulse rate throughout the surgery and anesthesia were stable and no intra- and postoperative complication
occured.
We believe that careful preoperative preparation is essential to minimize intraoperative hemodynamic disturbance and their sequelae.
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KEYWORD
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