Was a hypertensive crisis in a patient with pheochromocytoma caused by rocuronium?: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 249-253, 2009.
Article
em En
| WPRIM
| ID: wpr-176385
Biblioteca responsável:
WPRO
ABSTRACT
Pheochromocytoma is an uncommon tumor that originates in the adrenal medulla or in other paraganglia of the sympathetic nervous system. If a hypertensive crisis occurs during general anesthesia in incidental or untreated pheochromocytoma, it is a life-threatening event with a mortality rate of about 80%. Anesthetic drugs such as pancuronium, atracurium, and metoclopromide can exacerbate the potentially lethal cardiovascular effects of catecholamines. We report a case of a patient with pheochromocytoma who display abrupt increases in systolic arterial pressure and plasma norepinephrine following rocuronium administration. This case indicates the possible involvement of elevated sympathetic nervous system to a catecholamine crisis triggered by rocuronium in pheochromocytoma.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pancurônio
/
Feocromocitoma
/
Plasma
/
Sistema Nervoso Simpático
/
Atracúrio
/
Catecolaminas
/
Norepinefrina
/
Medula Suprarrenal
/
Pressão Arterial
/
Androstanóis
Limite:
Humans
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2009
Tipo de documento:
Article