Stratégie simplifiée pour l'anesthésie du phéochromocytome

Effects of perioperative α 1 block on haemodynamic control during laparoscopic surgery for phaeochromocytoma

“…This sequence was performed using a continuous infusion of urapidil without notable haemodynamic variation. The use of a b blocker is reported to precipitate cardiac failure in these patients, 23 but was necessary in six patients in our series. Interestingly, in the patient with Prinzmetal's angina (patient no.…”

“…25 26 The acute decrease in plasma catecholamines can induce cardiovascular collapse, that any persistent preoperative a 1 block may potentiate. 23 So a titrable shortacting a l adrenergic blocker also represents a logical treatment in such a situation. 10 12 Moreover, in contrast to b blockers and calcium channel blockers, the a l adrenergic block does not affect other aspects of blood pressure regulation.…”

Tolerance of laparoscopy for resection of phaeochromocytoma

“…The use of a potent analgesic at a high dose and a benzodiazepine proved to be sufficient to control surgical stress. 11 Calcium-channel blockers, such as nicardipine, are currently the antihypertensive agent of choice during phaechromocytoma resection. 1 11 Meurisse and colleagues 6 observed good haemodynamic stability during laparoscopic removal of phaeochromocytoma.…”

The use of preoperative embolization as a method of preventing intraoperative hemodynamic disorders in a patient with pheochromocytoma

“…Опухоль левого надпочечника по данным мультиспиральной компьютерной томографии органов брюшной полости (коронарный и сагиттальный срезы). [14]. В связи с наличием у пациентов, на фоне длительно существующего вазоспазма, снижения объема циркулирующей крови, в большинстве случаев требуется коррекция гиповолемии, адекватность которой определяется отсутствием эпизодов ортостатической гипотензии [15].…”