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Canadian Journal of Anesthesia, Vol 32, 278-282, Copyright © 1985 by Canadian Anesthesiologists' Society

Clinical Reports: Perioperative Management of a Patient with a Malignant Pheochromocytoma

DONALD MILLER MD FRCP(C)1 and JAMES A. ROBBLEE MD FRCP(C)1

1 Department of Anaesthesia, Ottawa Civic Hospital and University of Ottawa

Address correspondence to: Dr. James A. Robblee, Department of Anaesthesia, Ottawa Civic Hospital, 1053 Carling Avenue, Ottawa, Ontario, K1Y 4E9.

A case report is presented of a patient with a known malignant pheochromocytoma, who was to undergo an orthopaedic procedure using methylmethacrylate bone cement. Preoperative preparation of the patient included the use of prazosin and metyrosine. Epidural blockade was chosen as the anaesthetic technique for intraoperative management. Surgical fixation with methylmethacrylate did not produce profound or prolonged hypotension despite sudden massive blood loss prior to its use. Epidural morphine was administered for postoperative pain control.

Key Words: ANAESTHETIC TECHNIQUES: epidural • SURGERY: pheochromocytoma • DRUG INTERACTIONS: metyrosine, prazosin, methylmethacrylate






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Copyright © 1985 by the Canadian Anesthesiologists' Society.