ANESTETIC MANAGEMENT OF PATIENTS WITH PHEOCHROMOCYTOMA: CHRONOLOGICAL REVIE

In this article, perioperative management of patients with pheochromocytoma in our hospital were reviewed chronologically. 22 patients with peochromocytoma, who underwent surgery between 1964 and 1985, were classified into four groups according to their courses of anesthetic management. Patients in group 1 managed without any sympatholytic agents. Patients in group 2 managed intraoperatively with phentolamine but not with β-blocker. Patients in group 3 were under phentolamine or phenoxybenzamine administration preoperatively, and managed with phentolamine and propranolol intraoperativery. Patients in group 4 were under prazocine or labetalol administration preoperatively, and managed with prostaglandin E1, nitroglycerin or diltiazem hydrochlride intraoperatively. The introduction of new agents to clinical practice, and their effects on the management of patients with pheochromocytoma.