Perioperative Management of Pheochromocytoma

被引:125
作者
Naranjo, Julian [1 ]
Dodd, Sarah [1 ]
Martin, Yvette N. [1 ]
机构
[1] Mayo Clin, Dept Anesthesiol & Perioperat Med, Rochester, MN USA
关键词
pheochromocytoma; paraganglioma; anesthesia; hypertension; perioperative management; neuroendocrine tumors; CALCIUM-CHANNEL BLOCKADE; LAPAROSCOPIC ADRENALECTOMY; HEMODYNAMIC INSTABILITY; ANESTHETIC MANAGEMENT; HISTAMINE-RELEASE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; CARDIOPULMONARY-RESUSCITATION; UNDIAGNOSED PHEOCHROMOCYTOMA; INTRAOPERATIVE MANAGEMENT; PREOPERATIVE MANAGEMENT;
D O I
10.1053/j.jvca.2017.02.023
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Pheochromocytomas are rare neuroendocrine tumors that produce and store catecholamines. Without adequate preparation, the release of excessive amounts of catecholamines, especially during anesthetic induction or during surgical removal, can produce life-threatening cardiovascular complications. This review focuses on the perioperative management of pheochromocytoma/paragangliomas, initially summarizing the clinical aspects of the disease and then highlighting the current evidence available for preoperative, intraoperative, and postoperative anesthetic management. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:1427 / 1439
页数:13
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