Anesthesia for Pheochromocytoma

Since surgical resection is almost a definitive treatment of pheochromocytoma, most patients will require anesthesia. Therefore, anesthesia induction is one of the greatest concerns prior to the operation.

Introduction
According to the relevant data, nearly 25% to 50% of hospital deaths in patients with pheochromocytoma occur during induction of anesthesia or operative procedures for other causes.

Preoperative treatment
Alpha blockers — control blood pressure and preventing a hypertensive crisis during the surgery.
Beta blockers — should not be used unless significant tachycardia, abnormal rapid heart beating, occurs after alpha blockade.

Pheochromocytoma Preoperative Treatment

  • At least 10-14 days
  •  Alpha blockade (phenoxybenzamine) in all patients
  • Beta blockade (propranolol) if arrhythmias/tachycardia persists

Keywords: anesthesia pheochromocytoma; anesthetic management pheochromocytoma

* The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.