Anesthetic management of primary hyperreninism
Christian, C.M.; Naraghi, M.
Anesthesiology 46(6): 436-437
1977
ISSN/ISBN: 0003-3022 PMID: 860849 Document Number: 121783
Although the syndrome of primary hyperreninism is extremely rare, there is a paucity of data relevant to the anesthetic management of the operative procedure. For this reason a case report of a girl with this syndrome is described. In the case presented, an agent was needed to control the acute onset of hypertension anticipated during manipulation of the neoplasm. There are several agents that would have been satisfactory, but nitroprusside was chosen because its rapid onset and short duration of action would allow more sensitive control, and its direct mode of action would not interfere with the later use of other vasoactive substances. Enflurane was selected as the primary anesthetic. The ease of management of intraoperative hypertension and the benign operative and postoperative course make this regimen worthy of further study for use in patients who have operable primary hyperreninism.