Catecholamine crisis during induction of general anesthesia A case report
Catecholamine crisis during induction of general anesthesia A case report
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DOI：
10.1007/s00101-018-0409-6
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发表时间：
2018-03-01
期刊：
影响因子：
--
通讯作者：
Weber, C. F.
中科院分区：
文献类型：
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作者：
Sonntagbauer, M.;Koch, A.;Weber, C. F.
与嗜铬细胞瘤相关的儿茶酚胺危象可能导致危及生命的心血管疾病。我们报告一位75岁的男性，因未确诊的嗜铬细胞瘤而接受颈部神经瘤选择性切除术，在全麻诱导时发生高血压危象。血流动力学不稳定发生后立即注射芬太尼，丙泊酚和罗库溴铵，喉镜检查前，在没有任何操作的腹部。在本病例报告中，我们提出了这一事件的管理，并讨论了潜在的病理生理触发的儿茶酚胺危机。
Catecholamine crises associated with pheochromocytoma may cause life-threatening cardiovascular conditions. We report the case of a 75-year-old male who developed a hypertensive crisis during induction of general anesthesia for elective resection of a cervical neuroma due to an undiagnosed pheochromocytoma. Hemodynamic instability occurred immediately after the injection of fentanyl, propofol and rocuronium, prior to laryngoscopy and in the absence of any manipulation of the abdomen. In this case report, we present the management of this incident and discuss the underlying pathophysiology triggering a catecholamine crisis.