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Anesthetic challenges for pheochromocytoma surgery in pediatric patients: A case series

Raksha Vyas1, Ankur Sharma2, Shilpa Goyal1

  • 1Department of Anesthesiology and Critical Care, AIIMS, Jodhpur, Rajasthan, India.

Saudi Journal of Anaesthesia
|June 1, 2023
PubMed

Insights

Pediatric pheochromocytoma, a rare cause of high blood pressure, presents significant cardiovascular risks during surgery. Successful anesthesia management requires careful preoperative blood pressure control and intraoperative monitoring.

Area of Science:

  • Pediatric Endocrinology
  • Cardiovascular Surgery
  • Anesthesiology

Background:

  • Pheochromocytoma is a rare neuroendocrine tumor causing hypertension in children.
  • These tumors secrete catecholamines, leading to severe cardiovascular complications.

Observation:

  • This article presents three pediatric cases of pheochromocytoma.
  • Anesthetic management of these cases highlights significant challenges.

Findings:

  • Perioperative hypertension and cardiovascular events are major risks.
  • Successful outcomes depend on preoperative blood pressure optimization.
  • Meticulous intraoperative hemodynamic monitoring is crucial.

Implications:

  • Highlights the need for specialized anesthetic protocols for pediatric pheochromocytoma.
  • Emphasizes multidisciplinary collaboration between surgeons and anesthesiologists.
  • Informs strategies for mitigating perioperative risks in pediatric endocrine surgery.

Keywords:
Anesthesiahemodynamicpediatricsperioperative carepheochromocytoma

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