Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma.

Autor: Potnuru P; Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida, USA., Saba IC; Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida, USA., Osman BM; Department of Anesthesiology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Jazyk: angličtina
Zdroj: International journal of critical illness and injury science [Int J Crit Illn Inj Sci] 2019 Jul-Sep; Vol. 9 (3), pp. 144-146. Date of Electronic Publication: 2019 Sep 30.
DOI: 10.4103/IJCIIS.IJCIIS_82_18
Abstrakt: Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2019 International Journal of Critical Illness and Injury Science.)
Databáze: MEDLINE
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