World Journal of Endocrine Surgery

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VOLUME 15 , ISSUE 3 ( September-December, 2023 ) > List of Articles

CASE SERIES

A Retrospective Case Series on Planned and Accidental Pheochromocytoma Resection Surgery: Role of Preoperative Preparation

Shefali Gautam, Aparna Shukla, Pooja Ramakant, Sanjeev Kumar, Shashank Kumar, Rajput A Kumar

Keywords : Anesthesia, Case report, Epinephrine, Norepinephrine, Paraganglioma, Pheochromocytoma

Citation Information : Gautam S, Shukla A, Ramakant P, Kumar S, Kumar S, Kumar RA. A Retrospective Case Series on Planned and Accidental Pheochromocytoma Resection Surgery: Role of Preoperative Preparation. World J Endoc Surg 2023; 15 (3):76-81.

DOI: 10.5005/jp-journals-10002-1461

License: CC BY-NC 4.0

Published Online: 20-04-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Successful anesthetic management of patients with adrenal tumors requires a well-orchestrated and multidisciplinary approach. We report the successful anesthetic management and outcomes of five rare cases of adrenal tumors in adult and pediatric patients. Careful attention was paid to patient hydration, and salt supplementation was concurrently administered. Pharmacological therapy was started and required investigations, optimization was done preoperatively, and patients were admitted 2–3 days before surgery. During surgery, pheochromocytoma requires keen vigilance, invasive monitoring, appropriate anesthetic techniques, and vasodilator use during the perioperative period to tackle hypertensive crisis; vasopressors may be required postoperatively. All patients were clinically stable after surgery and were successfully discharged.


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