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KMID : 0356919940270111692
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Korean Journal of Anesthesiology
1994 Volume.27 No. 11 p.1692 ~ p.1697
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Anesthetic Management of a patient with Primary Aldosteronism caused by Adrenal Adenoma
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Abstract
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Increased and inappropriate production of aldosterone from the adrenal gland is known as primary aldosteronism and leads to sodium retention with hypertension, suppression of plasma renin, and hypokalemia and its manifestations. It is due mainly
to
a
solitary adenoma, bilateral hyperplasia, or rarely an adrenal carcinoma.
Primary aldosteronism due to an adenoma is usually treated by surgical excision. Preoperative managements include the correction of hypokalemia, volume derangement, and metabolic alkalosis with spironolactone and the treatment of existing
hypertension.
The authors report a case of unilateral adrenalectomy and anesthetic considerations during perioperative periods.
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