Saudi Journal of Anaesthesia

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

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


Ayse Belin Ozer1, Ismail Demirel1, Ozgur Duzgol1, Refik Ayten2, Omer Lutfi Erhan1 
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

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.


How to cite this article:
Ozer AB, Demirel I, Duzgol O, Ayten R, Erhan OL. Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker.Saudi J Anaesth 2014;8:105-108


How to cite this URL:
Ozer AB, Demirel I, Duzgol O, Ayten R, Erhan OL. Management of anesthesia in unspecified extra-adrenal pheochromocytoma patient who used beta-blocker. Saudi J Anaesth [serial online] 2014 [cited 2022 Aug 8 ];8:105-108
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=5;spage=105;epage=108;aulast=Ozer;type=0