An one anesthetic experience with right adrenalectomy for phochromocytoma in a 13-year-old children has been reported. Thiopenthal sodium 174mg and succinylcholine 40mg were used for endotrachal intubation, followed by N20,02, and isoflurane for
induction and maintenance. During anesthesia and operation, the highest systolic blood pressure was 210mmHg, the lowest was 130mmHg, and some variable arrhythmias were present. But these were well controlled immediately after administration of
labetalol
and propranolol.
The patient tolerated anesthesia and surgery well, despite the episodic hemodynamic changes. Although specific anesthetic drugs have been recommended, we believe that optimal preoperative preparation, a gentle induction of anesthesia and good
communication between surgeon and anesthesiologist are most important for anesthetic management.
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