2003, Number 3
Rev Mex Anest 2003; 26 (3)
Manejo Anestésico de Feocromocitoma: Reporte de un Caso
Gómez LC, Silva OG
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ABSTRACTThe anaesthetic’s handle of patients with phaeochromocytoma is a challenge for the Anaesthetist and his surgical team. Our objective is to avoid the trans and postsurgical mortality. This suffering implies wide knowledge about this pathology that fortunately is few. We think that the communication among the surgeon, laboratory, nurse, cardiologist and anaesthetist is very important, as well as the presurgical visit is necessary to infuse trust to the patient because the procedure that he will be subdued has a difficult handle. That procedure includes treatment with alpha and betablockers for 2 or 3 weeks before his admission to the operating theatre, this admission should be under good conditions. We can to conclude that the mixed anaesthesia with an epidural block more general anaesthesia is a good way for the handle. The epidural block lends adrenergic unloading’s decrease, narcotics, halogenous and relaxants decreases too; moreover gives analgesia. We always have to stay ready with drugs for any problem.