Anaesthetic management of previously non-diagnosed phaeochromocytoma: Clinical vigilance, the ultimate saviour of anaesthesiologist

A 39-year-old male, post nephrectomy and adrenalectomy (right), was planned for adrenalectomy (left) and radiofrequency ablation of left renal mass. Clinical evaluation indicated a possibility of phaeochromocytoma, whereas biochemical parameters were found to be within normal limits. Intraoperativel...

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Bibliographic Details
Published inIndian journal of anaesthesia Vol. 57; no. 3; pp. 295 - 297
Main Authors Trivedi, Paramita, Roy, Partho, Roy-Choudhury, Shuvro, Narayan, Srinivas
Format Journal Article
LanguageEnglish
Published India Medknow Publications 01.05.2013
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Adrenal incidentaloma
Adrenalectomy
Anesthesia
Case Report
Dosage and administration
Fentanyl
Intubation
Mortality
Patient outcomes
phaeochromocytoma
Pulmonary arteries
radiofrequency ablation
Surgery
Tramadol
Veins & arteries
adrenalectomy
phaeochromocytoma
radiofrequency ablation
Adrenal incidentaloma
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Summary:A 39-year-old male, post nephrectomy and adrenalectomy (right), was planned for adrenalectomy (left) and radiofrequency ablation of left renal mass. Clinical evaluation indicated a possibility of phaeochromocytoma, whereas biochemical parameters were found to be within normal limits. Intraoperatively, massive fluctuations in haemodynamic parameters were noticed while the tumour was being handled. Patient was stabilised with inotropes, vasopressors, fluids and careful titration of anaesthetic agents. Preoperatively diagnosed coronary disease could have complicated anaesthetic care. Optimum and modern anaesthetic care leads to safe execution of surgery.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.115620