Anesthetic management for pheochromocytoma resection using spinal cord stimulation and intravenous nicardipine--a case report
Shiraishi, M.; Hanzawa, K.; Motoyama, Y.
Acta Anaesthesiologica Sinica 37(2): 83-87
1999
ISSN/ISBN: 0254-1319 PMID: 10410408 Document Number: 508319
We have used spinal cord stimulation (SCS), diazepam and nitrous oxide for maintenance of general anesthesia. Blood pressure was maintained by bolus administration of nicardipine for the removal of pheochromocytoma. Both SCS and nicardipine reduced systemic vascular resistance and SCS increased cardiac output. However, neither SCS nor nicardipine could inhibit the release of norepinephrine. SCS proved to be useful as one of anesthetic technique during the removal of pheochromocytoma, and also in the management of postoperative pain and the prevention of complications.