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Canadian Journal of Anesthesia, Vol 13, 598-606, Copyright © 1966 by Canadian Anesthesiologists' Society

Anaesthetic Management of Pheochromocytoma

E. R. ENGELBRECHT M.D.1, J. T. HUGILL M.D.1, and H. B. GRAVES M.D., C.M., F.R.C.P.(C)1

1 Department of Anaesthesiology, Vancouver General Hospital and the Faculty of Medicine, University of British Columbia

From our experience, the following are important requirements in the successful management of pheochromocytoma cases. (1) Adequate hospital treatment with the blocking agents for at least one week prior to surgery. (2) Adequate blood replacement during surgery, and preoperatively if necessary. (3) Adequate cortisone before, during, and after surgery. (4) Our anaesthetic of choice is thiopentone, opiate, nitrous oxide, with succinylcholine for relaxation, and controlled respiration. Careful monitoring of the blood pressure, central venous pressure, and electrocardiograph are mandatory.

The general surgical mortality rate reported elsewhere for the period 1952-65 was thirteen per cent.4 There were no deaths in our series. We predict that in the future this operation will be a relatively safe procedure. The knowledge, diagnostic investigation, and therapeutic drugs at our command are available to accomplish this.

Note:

Presented at the Annual Meeting of the Canadian Anaesthetists' Society at Banff, June 6-10, 1966.






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Copyright © 1966 by the Canadian Anesthesiologists' Society.