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Canadian Journal of Anesthesia, Vol 8, 276-280, Copyright © 1961 by Canadian Anesthesiologists' Society
A case report of a 62-year-old man undergoing general anaesthesia for an inguinal herniorrhaphy is presented. Hypertension, bronchospasm, tachycardia, and pulmonary oedema developed during the procedure and the patient was treated for left ventricular failure. Death occured 40 hours postoperatively and a phaeochromocytoma on the right side was discovered at post-mortem examination. An account of the causes and significance of hypertension during anaesthesia is given: and a plan of treatment suggested for these cases in which the reason for the pressor response is difficult to determine. This involves the assessment of ventilation and depth of anaesthesia, use of chlorpromazine and phentolamine. Attention is drawn to the possible need for additional cardiovascular supportive therapy.
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