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REVIEW ARTICLE
Year : 2011  |  Volume : 15  |  Issue : 8  |  Page : 337-344

Implications and considerations during pheochromocytoma resection: A challenge to the anesthesiologist


1 Department of Anaesthesiology and Intensive Care, GianSagar Medical College and Hospital, Banur, Punjab, India
2 Department of Obstetrics and Gynaecology,GianSagar Medical College and Hospital, Banur, Punjab, India

Correspondence Address:
Sukhminder Jit Singh Bajwa
Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.86977

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Pheochromocytoma is a rare catecholamine secreting tumor arising commonly from adrenal medulla. It has got multidimensional challenging aspects in spite of our improved understanding of its physiological and clinical behavior during surgical resection. This neuroendocrine tumor is associated with a most unpredictable and fluctuating clinical course during anesthesia and surgical intervention. The clinical difficulties and challenges increase manifold in patients with undiagnosed or accidental diagnosis of pheochromocytoma who present to the hospital for the treatment of some other disease or emergency. The most common manifestations of this clinical spectrum include hypertension, headache, palpitations, episodic sweating, and feeling of doom. The definite and only treatment for this rare tumor is surgical resection which itself is very challenging for an anesthesiologist. This article reviews the pre-operative evaluation, pharmacological preparation, intraoperative and post-operative management of patients with pheochromocytoma especially from anesthesiologist's perspectives.


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