2003
DOI: 10.1016/j.jclinane.2003.02.006
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Hypertensive crisis inducing rhabdomyolysis during laparoscopic resection of a large pheochromocytoma: a case report

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Cited by 6 publications
(3 citation statements)
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“…Pretreatment of patients for pheochromocytoma surgery with clonidine, a less selective alpha 2-agonist, was associated with a reduced release of catecholamines, a decrease in MAP and HR, and an increase in SVR [13]. Dexmedetomidine use during anesthesia for pheochromocytoma resection has been reported previously [14,15]. Central nervous system (CNS) alpha 2 receptors can be found presynaptically as well as postsynaptically.…”
Section: Discussionmentioning
confidence: 97%
“…Pretreatment of patients for pheochromocytoma surgery with clonidine, a less selective alpha 2-agonist, was associated with a reduced release of catecholamines, a decrease in MAP and HR, and an increase in SVR [13]. Dexmedetomidine use during anesthesia for pheochromocytoma resection has been reported previously [14,15]. Central nervous system (CNS) alpha 2 receptors can be found presynaptically as well as postsynaptically.…”
Section: Discussionmentioning
confidence: 97%
“…[32][33][34][35][36] In the perioperative period, massive catecholamine release during tumor manipulation leading to intense vasospasm and ischemia of the patient's muscle tissue has been implicated as the underlying etiology. 36 Interestingly, rhabdomyolysis can be the presenting symptom of pheochromocytoma, with case reports demonstrating profound rhabdomyolysis and myoglobinuric renal failure in patients undergoing medical or surgical treatment for unrelated disorders.…”
Section: Postoperative Intensive Care Managementmentioning
confidence: 99%
“…These include saralasin, sulpiride, droperidol, metoclopramide, ergotamine, caffeine, nimesulide, opiates, histamines, and glucagon among others [5][6][7][8][9]. Our search of the literature found six reports of steroid-induced pheochromocytoma crisis [10][11][12][13][14][15] and only a few reports of rhabdomyolysis in pheochromocytoma patients [16][17][18][19].…”
Section: Introductionmentioning
confidence: 99%