Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report
Abstract Background Although various agents are used during anesthesia for surgical resection of pheochromocytoma, application of desflurane has rarely been reported. We report the use of desflurane in a case receiving resection of extra-adrenal pheochromocytoma. Case presentation A 51-year-old fema...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2018-10-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-018-0212-z |
| _version_ | 1819179571592822784 |
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| author | Yutaka Oda Takahisa Adachi Ryushi Komatsu Motoko Shimada Yukio Tanaka |
| author_facet | Yutaka Oda Takahisa Adachi Ryushi Komatsu Motoko Shimada Yukio Tanaka |
| author_sort | Yutaka Oda |
| collection | DOAJ |
| description | Abstract Background Although various agents are used during anesthesia for surgical resection of pheochromocytoma, application of desflurane has rarely been reported. We report the use of desflurane in a case receiving resection of extra-adrenal pheochromocytoma. Case presentation A 51-year-old female was transferred to our hospital for sustained hypertension. A diagnosis of extra-adrenal pheochromocytoma was made based on increased plasma catecholamine levels and radiographic findings. Surgical resection was planned after controlling blood pressure. General anesthesia was induced with propofol and fentanyl, followed by maintenance with desflurane 4.3% and remifentanil 0.2–0.4 μg/kg/min. Blood pressure and heart rate were stable during induction, tracheal intubation, and tumor manipulation. Blood pressure abruptly decreased to 62/40 mmHg after removal of the tumor, which was treated with noradrenaline. The surgery was completed uneventfully and the postoperative course was also uneventful. Conclusion Desflurane was safely used in combination with remifentanil during anesthesia for resection of extra-adrenal pheochromocytoma. |
| first_indexed | 2024-12-22T22:00:34Z |
| format | Article |
| id | doaj.art-00fbc0f6d409467c804f5befea966729 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-22T22:00:34Z |
| publishDate | 2018-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-00fbc0f6d409467c804f5befea9667292022-12-21T18:11:07ZengSpringerOpenJA Clinical Reports2363-90242018-10-01411510.1186/s40981-018-0212-zUse of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case reportYutaka Oda0Takahisa Adachi1Ryushi Komatsu2Motoko Shimada3Yukio Tanaka4Department of Anesthesiology, Osaka City Juso HospitalDepartment of Urology, Osaka City Juso HospitalDepartment of Cardiology, Osaka City Juso HospitalDepartment of Anesthesiology, Osaka City Juso HospitalDepartment of Anesthesiology, Osaka City Juso HospitalAbstract Background Although various agents are used during anesthesia for surgical resection of pheochromocytoma, application of desflurane has rarely been reported. We report the use of desflurane in a case receiving resection of extra-adrenal pheochromocytoma. Case presentation A 51-year-old female was transferred to our hospital for sustained hypertension. A diagnosis of extra-adrenal pheochromocytoma was made based on increased plasma catecholamine levels and radiographic findings. Surgical resection was planned after controlling blood pressure. General anesthesia was induced with propofol and fentanyl, followed by maintenance with desflurane 4.3% and remifentanil 0.2–0.4 μg/kg/min. Blood pressure and heart rate were stable during induction, tracheal intubation, and tumor manipulation. Blood pressure abruptly decreased to 62/40 mmHg after removal of the tumor, which was treated with noradrenaline. The surgery was completed uneventfully and the postoperative course was also uneventful. Conclusion Desflurane was safely used in combination with remifentanil during anesthesia for resection of extra-adrenal pheochromocytoma.http://link.springer.com/article/10.1186/s40981-018-0212-zDesfluraneExtra-adrenal pheochromocytoma123Iodine-metaiodobenzylguanidineRemifentanil |
| spellingShingle | Yutaka Oda Takahisa Adachi Ryushi Komatsu Motoko Shimada Yukio Tanaka Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report JA Clinical Reports Desflurane Extra-adrenal pheochromocytoma 123Iodine-metaiodobenzylguanidine Remifentanil |
| title | Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report |
| title_full | Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report |
| title_fullStr | Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report |
| title_full_unstemmed | Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report |
| title_short | Use of desflurane during anesthesia for resection of extra-adrenal pheochromocytoma: a case report |
| title_sort | use of desflurane during anesthesia for resection of extra adrenal pheochromocytoma a case report |
| topic | Desflurane Extra-adrenal pheochromocytoma 123Iodine-metaiodobenzylguanidine Remifentanil |
| url | http://link.springer.com/article/10.1186/s40981-018-0212-z |
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