Literature DB >> 22223909

Anaesthetic management for emergency caesarean section in a patient with an untreated recently diagnosed phaeochromocytoma.

Anil Agarwal1, Puneet Khanna, Suryakumar Narayanawamy, Ganga Prasad, Anuradha Borle.   

Abstract

Phaeochromocytoma is a rare cause of hypertension during pregnancy with potentially fatal consequences. If not detected and treated early in pregnancy, it is catastrophic for both the mother and the baby. Management requires close co-ordination between the obstetrician, anaesthesiologist, paediatrician and the endocrinologist. Perioperative management for an emergency caesarean section in a parturient with untreated phaeochromocytoma is an anaesthetic challenge and no standard recommendations have been reported till date. In this case report, we present anaesthetic management in such a case with successful maternal and foetal outcome.

Entities:  

Keywords:  Emergency caesarean section; magnesium sulphate; phaeochromocytoma

Year:  2011        PMID: 22223909      PMCID: PMC3249872          DOI: 10.4103/0019-5049.90622

Source DB:  PubMed          Journal:  Indian J Anaesth        ISSN: 0019-5049


  12 in total

1.  Ultra-low dose combined spinal-epidural anaesthesia for Caesarean section in severe pre-eclampsia.

Authors:  W H L Teoh; A T H Sia
Journal:  Anaesthesia       Date:  2006-05       Impact factor: 6.955

Review 2.  Phaeochromocytoma causing acute pulmonary oedema during emergency caesarean section.

Authors:  J R Golshevsky; K Karel; G Teale
Journal:  Anaesth Intensive Care       Date:  2007-06       Impact factor: 1.669

Review 3.  Pheochromocytoma in pregnancy: a case series and review.

Authors:  Raymond Oliva; Peter Angelos; Edwin Kaplan; George Bakris
Journal:  Hypertension       Date:  2010-01-18       Impact factor: 10.190

4.  Anaesthesia for phaeochromocytoma in pregnancy.

Authors:  A Hamilton; S Sirrs; N Schmidt; J Onrot
Journal:  Can J Anaesth       Date:  1997-06       Impact factor: 5.063

5.  Acute heart failure in the parturient--do not forget phaeochromocytoma.

Authors:  P S Gill
Journal:  Anaesth Intensive Care       Date:  2000-06       Impact factor: 1.669

6.  Phaeochromocytoma diagnosed during labour.

Authors:  A N Strachan; P Claydon; J A Caunt
Journal:  Br J Anaesth       Date:  2000-10       Impact factor: 9.166

7.  Rapid preparation of a patient with pheochromocytoma with labetolol and magnesium sulfate.

Authors:  R Poopalalingam; E Y Chin
Journal:  Can J Anaesth       Date:  2001-10       Impact factor: 5.063

8.  Attenuation of the pressor response to tracheal intubation by magnesium sulphate with and without alfentanil in hypertensive proteinuric patients undergoing caesarean section.

Authors:  W B Ashton; M F James; P Janicki; P C Uys
Journal:  Br J Anaesth       Date:  1991-12       Impact factor: 9.166

9.  Attenuation of the pressor response to tracheal intubation in hypertensive proteinuric pregnant patients by lignocaine, alfentanil and magnesium sulphate.

Authors:  R W Allen; M F James; P C Uys
Journal:  Br J Anaesth       Date:  1991-02       Impact factor: 9.166

10.  Subarachnoid block for caesarean section in severe preeclampsia.

Authors:  Sujata Chaudhary; Rashmi Salhotra
Journal:  J Anaesthesiol Clin Pharmacol       Date:  2011-04
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