Anaesthetic Management for Pheochromocytoma Surgery: A Never Ending Challenge

Bhavya Krishna; Kavita Rani Sharma; Ranju Gandhi; Siddharth Yadav

doi:10.18502/aacc.v9i5.13967

Bhavya Krishna Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Kavita Rani Sharma Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Ranju Gandhi Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Siddharth Yadav Department of Urology and Renal Transplant, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

DOI: https://doi.org/10.18502/aacc.v9i5.13967

Keywords: Pheochromocytoma; Catecholamine; Inotropes; Hypertension; Arrhythmias; Transport; Dysrhythmias

Abstract

Pheochromocytoma is a challenging case for any anesthesiologist and a team approach is required throughout the perioperative period to prevent anticipated difficulties and best manage any unforeseen complications that develop. We discuss successful management of certain unique challenges, like multifocal arrhythmias and surgical rebleed during transport, during pheochromocytoma surgery in an adult, in addition to the usual perioperative problems.