Catecholamine crisis during induction of general anesthesia : A case report
M Sonntagbauer1, A Koch2, U Strouhal2
1Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Theodor Stern Kai 7, 60590, Frankfurt/Main, Germany. Michael.Sonntagbauer@kgu.de.
Der Anaesthesist
|February 7, 2018
Summary
Pheochromocytoma can cause dangerous hypertensive crises, even during anesthesia induction for unrelated surgery. This case highlights the importance of recognizing this rare tumor
Area of Science:
- Anesthesiology
- Endocrinology
- Cardiovascular Medicine
Background:
- Pheochromocytoma, a rare neuroendocrine tumor, secretes catecholamines, potentially leading to severe hypertension.
- Catecholamine crises can precipitate life-threatening cardiovascular events.
Observation:
- A 75-year-old male with an undiagnosed pheochromocytoma experienced a hypertensive crisis during general anesthesia induction for cervical neuroma resection.
- Hemodynamic instability arose immediately after anesthetic agent administration, prior to laryngoscopy and abdominal manipulation.
Findings:
- The case illustrates a catecholamine crisis triggered by anesthetic induction in a patient with previously unrecognized pheochromocytoma.
- Management strategies for this perioperative hypertensive emergency are discussed.
Implications:
- Highlights the critical need for vigilance in identifying pheochromocytoma, especially in patients presenting for surgery.
- Underscores the potential for anesthetic agents to precipitate catecholamine release and hypertensive crises.
- Emphasizes prompt recognition and management of perioperative hypertensive emergencies.
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