Literature DB >> 23988807

Refractory hypotension during spinal anesthesia for Cesarean delivery due to undiagnosed pheochromocytoma.

Rebecca L Johnson1, Katherine W Arendt2, Carl H Rose3, Michelle A O Kinney2.   

Abstract

Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia.
© 2013.

Entities:  

Keywords:  Anesthesia: obstetrical; Cesarean section; Hypotension; Pheochromocytoma; Pregnancy-induced hypertension; Spinal anesthesia

Mesh:

Substances:

Year:  2013        PMID: 23988807     DOI: 10.1016/j.jclinane.2013.04.015

Source DB:  PubMed          Journal:  J Clin Anesth        ISSN: 0952-8180            Impact factor:   9.452


  3 in total

1.  Intraoperative Serum Catecholamine Levels in a Pregnant Woman With Pheochromocytoma Undergoing Cesarean Delivery With Combined Spinal-Epidural Anesthesia: A Case Report.

Authors:  Haruna Miyazaki; Daisuke Miura; Yukie Koguchi; Chihiro Takamatsu; Yoshiro Sakaguchi
Journal:  Cureus       Date:  2022-05-04

2.  Refractory hypotension under neuraxial anesthesia for cesarean delivery.

Authors:  Shu-Ying Li; Xiao-Jing Chen; Xue-Mei Lin
Journal:  Chin Med J (Engl)       Date:  2019-06-20       Impact factor: 2.628

3.  Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma.

Authors:  Paul Potnuru; Isabela C Saba; Brian M Osman
Journal:  Int J Crit Illn Inj Sci       Date:  2019-09-30
  3 in total

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