Pheochromocytoma - 마취 1례보고

An anesthetic experience with right adrenalectomy for pheochromocytoma in a 24 year-old woman has been reported. Thiopental was used for induction followed by nitrous oxide-oxygen-fluothane supplemented with fractional doses of morphine for analgesia and succinylcholine (0.1 per cent intravenous drip) for muscular relaxation. An endotracheal semi-closed circle absorption technique with controlled ventilation was employed. The patient tolerated the ansthesia and surgery well with appropriate cardiovascular control using Regitine to suppress excessive hypertension and Levophed, whole blood and cortisone to combat hypotension after removal of the tumor. Importance of preoperative preparation, sufficient sedation, smooth induction, complete analgesia, good muscular relaxation, adequate alveoiar ventilation and proper cardiovascular control has been stressed and discussed together with the choice of anesthetic agent and technique.