Refractory hypotension during spinal anesthesia for Cesarean delivery due to undiagnosed pheochromocytoma

被引：7
作者：
Johnson, Rebecca L. [1 ]
Arendt, Katherine W. [1 ]
Rose, Carl H. [2 ]
Kinney, Michelle A. O. [1 ]
机构：
[1] Mayo Clin, Coll Med, Dept Anesthesiol, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Dept Maternal Fetal Med, Rochester, MN 55905 USA
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2013年 / 25卷 / 08期
关键词：
Anesthesia: obstetrical; Cesarean section; Hypotension; Pheochromocytoma; Pregnancy-induced hypertension; Spinal anesthesia; PREGNANCY; VASOPRESSIN; SECTION; PREECLAMPSIA; MANAGEMENT; MECHANISMS; RESECTION;
D O I：
10.1016/j.jclinane.2013.04.015
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码：672 / 674
页数：3
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