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Case Report

Anesthetic Management of Pheochromocytoma in a Child-A Case Report

Ahamed Ashar Ali H, Consultant Anesthesiologist, Meenakshi Mission Hospital and Research Centre, Madurai, Tamil Nadu 625107, India , Ahamed Ashar Ali H1 , Thahseen Nilofar S2

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Indian Journal of Emergency Medicine 6(3):p 191-194, July – September 2020. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6320.7

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Ahamed Ashar Ali H, Thahseen Nilofar S.. Anesthetic Management of Pheochromocytoma in a Child- A Case Report. Indian J
Emerg Med 2020;6(3):191–194
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: Pheochromocytoma is a catecholamine secreting
tumour which imposes multimodal challenges to the anaesthesiologist
in its perioperative management. We report a case of a 12 year old boy
with complaints of palpitations, headache, sweating and sleeplessness.
Pheochromocytoma was diagnosed by 24 hours urine metanephrines,
vanillylmandelic acid and MRI abdomen. The main stay in the surgical
management of pheochromocytoma is preoperative preparation which
determines the outcome. Patient was operated under general anaesthesia with epidural analgesia. Beta blockers, nitroglycerine, sodium nitroprusside and phenylephrine are required to manage the hemodynamic fluctuations and should be used appropriately.

Conclusion: Successful management requires careful preoperative optimization, meticulous intraoperative planning, and hemodynamic management.

Keywords: Atenolol; Metanephrines; Pheochromocytoma; Sodium
nitroprusside; Vanillyl Mandelic Acid.

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Cite this article

Ahamed Ashar Ali H, Thahseen Nilofar S.. Anesthetic Management of Pheochromocytoma in a Child- A Case Report. Indian J
Emerg Med 2020;6(3):191–194
 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6320.7

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