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2003, Number 3

Rev Mex Anest 2003; 26 (3)

Manejo Anestésico de Feocromocitoma: Reporte de un Caso

Gómez LC, Silva OG
Full text How to cite this article

Language: Spanish
References: 8
Page: 163-165
PDF size: 157.46 Kb.


Key words:

Phaeochromocytoma, Epidural Block, Mixed anaesthesia.

ABSTRACT

The 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.


REFERENCES

  1. Barash Collen Stelting. Anestesia Clínica 3ª edición, Páginas 1233-1236.

  2. Jordan Kats MD. Anestesia en enfermedades poco frecuentes. 2ª edición páginas 202-208.

  3. Strachn AN, Claydon P, Caunt JA. Phaeochromocytoma diagnosed during labour. British Journal of Anaesthesia 2000;85(4):636-638.

  4. Joaquin Amérigo, MD. José Roig. Primary malignant melanoma of the adrenal gland. Surgery 127(1):107-111.

  5. Alan PB, Dackiw MD PhD, Gilbert J Cote, PhD. Screening for men I mutation in patients with atypical endocrine neoplasia. Surgery 126(6):1097-1104.

  6. Ola Nilson, MD. PhD, Lars E. Tisell, MD, PhD. Adrenal and Extra- adrenal Pheochromocytomas in the family mith Germline Ret V 8041 mutation. JAMA 1999;281(17):1587.

  7. Pastor L. Anestesia en cardiópata; 1ª edición 2002:464.

  8. Anestesiología clínica. G Edward Morgan. 2a edición, Páginas 204- 207.




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Rev Mex Anest. 2003;26