CASE REPORT
Year : 2014  |  Volume : 8  |  Issue : 5  |  Page : 105-108

Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker


1 Department of Anesthesiology and Reanimation, Faculty of Medicine, Firat University, Elazig 23119, Turkey
2 Department of General Surgery, Faculty of Medicine, Firat University, Elazig 23119, Turkey

Correspondence Address:
Dr. Ayse Belin Ozer
Department of Anesthesiology and Reanimation, Faculty of Medicine, Firat University, Elazig 23119
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.144088

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An operation was planned for a female patient aged 59 for intra-abdominal mass. The patient was using nebivolol for hypertension. Blood pressure (BP) of the patient was raised to 200/130 mmHg during anesthesia induction. BP was gradually reduced by remifentanil infusion. Following the manipulation of the mass, BP began to increase (225/160 mmHg), thus nitroglycerin and followed nitroprusside infusion was started. Propofol (200 + 200 mg) and furosemide (20 mg) were administered intravenously. BP suddenly dropped (90/60 mmHg) following the removal of the mass, nitroglycerine, and nitroprusside infusions were stopped; remifentanil dose was decreased and fluid was quickly infused. The patient was uneventually recovered. Vanilmandelic acid level was higher in the patient and pheochromocytoma was considered.


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