KMID : 0356919930260030581
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Korean Journal of Anesthesiology 1993 Volume.26 No. 3 p.581 ~ p.586
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Anesthetic Management of a Patient with Pheochromocytoma in Pregnancy -A case report-
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Abstract
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The anesthetic management of a patient with pheochromoctoma in pregnancy is presented. Preoperative phenoxybenzamine therapy and careful intraoperative monitoring preduced successful cesarean section and tumor resection in this patient. Problems
that
occurred during mamagement of this patient are hypoxemia(R/O pulmonary edema) and cardiovascular flucctuation according to the operative procedure. Hypoxemia occurred possibly due to large amount of crystalloid infusion in a short time and was
solved
with applying positive end expiratory pressure and using diuretics. Blood pressure was controlled effectively with sodium nitroprusside or phenylephrine infusion according to the operative procedure. Preoperative pregnancy induced liver disease
in
this
patient was recovered after delivery.
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