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KMID : 0387519950050010221
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Journal of Maryknoll Hospital
1995 Volume.5 No. 1 p.221 ~ p.228
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Anesthesia for Pheochromocytoma Resection -Two Cases Report
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권욱환
윤지영/김영생/조성두/송남원
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Abstract
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Two patient 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, arrhythmia and tachycardia. Pulmonary edema occurred intraoperatively, but subsided with positive and 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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