Manejo anestesiológico em cirurgias para tratamento de feocromocitoma: Relato de dois casos
Anestesia no Feocromocitoma
DOI:
https://doi.org/10.25751/rspa.36702Keywords:
Feocromocitoma, Anestesia, Complicações Intraoperatórias, Tumores Neuroendócrinos, HipertensãoAbstract
Introduction: Pheochromocytomas are rare neuroendocrine tumors of the adrenal medulla that synthesize excessive catecholamines and have the classic clinical triad of headache, sweating and palpitations. It has surgical treatment, requiring pre-operative preparation and adequate anesthetic management for blood pressure control according to its varied pharmacodynamic profiles pre-, intra- and post-operatively. Objective: To report the anesthetic management of two cases of pheochromocytoma, from a pre-anesthetic consultation to a tall patient. Methodology: This is a descriptive case-based study, using intraoperative information in hospitals and different surgical data. Conclusion: Regional anesthesia combined with balanced general anesthesia was used, with no significant interferences in hemodynamic stability, analgesia and hospital discharge.
Downloads
References
Gaujoux S, Lentschener C. Weingarten et al.: Comparison of two preoperative medical management strategies for laparoscopic resection of pheochromocytoma. Urology. 2010; 76:508. doi: 10.1016/j.urology.2010.07.522. PMID: 21130264.
Bravo EL. Pheochromocytoma: an approach to antihypertensive management. Ann N Y Acad Sci. 2002. 970:1-10. doi: 10.1111/j.1749-6632.2002.tb04408.x. PMID: 12381537.
Furuta N, Sasaki H, Miki J, Kimura T, Egawa S. Clinical study of laparoscopic adrenalectomy for adrenal pheochromocytoma. Hinyokika Kiyo. 2009; 55(5):245-8. PMID: 19507540.
Walther MM. New therapeutic and surgical approaches for sporadic and hereditary pheochromocytoma. Ann N Y Acad Sci. 2002; 970 41-53. doi: 10.1111/j.1749-6632.2002.tb04411.x. PMID: 12381540.
Minami T, Adachi T, Fukuda K. An effective use of magnesium sulfate for intraoperative management of laparoscopic adrenalectomy for pheochromocytoma in a pediatric patient. Anesth Analg. 2002;95(5):1243-4.
Proye C, Thevenin D, Cecat P, et al. Exclusive use of calcium channel blockers in preoperative and intraoperative control of pheochromocytomas: hemodynamics and free catecholamine assays in ten consecutive patients. Surgery. 1989;106:1149-54.
Prys-Roberts C, Farndon JR. Efficacy and safety of doxazosin for perioperative management of patients with pheochromocytoma. World J Surg. 2002; 26:1037-42.
Peramunage D, Nikravan S. Anesthesia for Endocrine Emergencies. Anesthesiol Clin. 2020; 38(1):149-163. doi: 10.1016/j.anclin.2019.10.006, PMID: 32008649.
Faiçal S, Shiota D. Feocromocitoma: atualização diagnóstica e terapêutica. Revista da Associação Médica Brasileira. 1997; 43 (3): 237-244.
Simões CM, Valinetti EA, Cardieri F, Falcheto AM, Yukie K, Ichimura M. Manejo anestésico da ressecção de feocromocitoma adrenal bilateral na infância. Sao Paulo Med J. 2005;123:44. doi: 10.1590/S1516-31802005000700039
Souza Neto EP, Tajra LCF, Cachefo AC. Anesthesia for Surgical Resection of Dopamine Secreting Pheochromocytoma. Case Report. Revista Brasileira de Anestesiologia. 1996; 46 (4) 285.
Nelson O, Maria Irene C, Gustavo H. Feocromocitoma. Manejo Anestésico Transoperatorio. Apropósito de un caso y revisión de la literatura. . Fac. Ciência. Méd; 2008 41(1-2) 56-63.
De Wilde D, Velkeniers B, Huyghens L, Diltoer M. The paradox of hypotension and pheochromocytoma: a case report. Eur J Emerg Med. 2004;11:237-9.
Ahmed, A. Perioperative management of pheochromocytoma: anaesthetic implications. Journal of Pakistan Medical Association. 2007; 57(3), 140-146.
Adigun TA, Ayandipo OO, Idowu, OK. Manejo anestésico de paciente com feocromocitoma em ambiente de poucos recursos: relato de caso. Tendências Anes Surg. 2018; 1 , 1-3.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Luciana Hahmann Abreu, Marco Túlio José Figueiredo, Daniel Ferreira Gundim, Gustavo Siqueira Elmiro, Giulliano Gardenghi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Articles are freely available to be read, downloaded and shared from the time of publication.
The RSPA reserves the right to commercialize the article as an integral part of the journal (in the preparation of reprints, for example). The author should accompany the submission letter with a declaration of copyright transfer for commercial purposes.
Articles are published under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC).
After publication in RSPA, authors are allowed to make their articles available in repositories of their home institutions, as long as they always mention where they were published.
