Anaesthetic management of a phaeochromocytoma patient with aortic valve insufficiency

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dc.authorscopusid8932188900
dc.authorscopusid34569135700
dc.authorscopusid6603245381
dc.authorscopusid15073106000
dc.authorscopusid55666804700
dc.authorscopusid7004486274
dc.contributor.authorBut A.K.
dc.contributor.authorDurmuş M.
dc.contributor.authorGedik E.
dc.contributor.authorKaraaslan K.
dc.contributor.authorToprak H.I.
dc.contributor.authorErsoy M.O.
dc.date.accessioned2024-08-04T19:59:42Z
dc.date.available2024-08-04T19:59:42Z
dc.date.issued2002
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPhaeochromocytoma is an uncommon neuroectodermic tumour of adrenal medulla. Additional cardiac problems make anaesthesia management of phaeochromocytoma more complicated. We aimed to present the anaesthetic management of phaeochromocytoma patient with aortic valve insufficiency (AVI). A 45 years-old, 65 kg, female patient with third degree of AVI was admitted for phaeochromocytoma surgery. Before surgery, she was pre-treated with phenoxybenzamine and nicardipine for a week. In the operation room, thoracic epidural analgesia was maintained with 10 mL 0.5% bupivacaine loading dose, followed by 5 mL 0.5% bapivacaine for every hour during surgery. Then anaesthesia was induced with midazolam, droperidol, fentanyl, vecuronium, metoprolol and lidocaine. High dose fentanyl anaesthesia with 0.5-1.5% isoflurane were preferred for maintenance of anaesthesia. Haemodynamic stability was obtained with this anaesthesia management with lower dose vasodilators until the resection of adrenal mass. After the resection, severe hypotension was controlled with inotropic agents. Surgery was completed uneventfully and patient was transferred to ICU. In phaeochromocytoma cases with AVI, we think that appropriate anaesthetic approach is the thoracal epidural analgesia and high dose fentanyl anaesthesia with support of vasodilatators or vasoactive agents.en_US
dc.identifier.endpage390en_US
dc.identifier.issn1016-5150
dc.identifier.issue8en_US
dc.identifier.scopus2-s2.0-17944404362en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage388en_US
dc.identifier.urihttps://hdl.handle.net/11616/90835
dc.identifier.volume30en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAortic valva insufficiencyen_US
dc.subjectFentanylen_US
dc.subjectPhaeochromocytomaen_US
dc.subjectThoracic epidural analgesiaen_US
dc.titleAnaesthetic management of a phaeochromocytoma patient with aortic valve insufficiencyen_US
dc.title.alternativeAort yetersizli?inin eşlik etti?i bir feokromositoma hastasinda anestezi yaklaşimien_US
dc.typeArticleen_US

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