Hemodynamic Instability, Phaeochromocytoma Crisis
Conditions
Keywords
Magnesium, Dexmedetomidine, Nitroprusside, Pheochromocytoma
Brief summary
Anesthesia management of pheochromocytoma excision surgery is associated with severe hemodynamic fluctuations.The objective of this study was to compare the hypertensive episodes requiring sodium nitroprusside administration between the group treated with magnesium-dexmedetomidine and conventional group in pheochromocytoma.
Interventions
Received oral 300 mg magnesium one week before surgery and magnesium-dexmedetomidine combination perioperatively
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologists classification (ASA) 1-3 * high urinary catecholamine or metabolites * tumor sizes \< 5 cm * body mass index (BMI) \<35 kg/m2
Exclusion criteria
* open surgery * bilateral masses * tumor larger than 5 cm * incomplete data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sodium nitroprusside (SNP) requirement | intraoperative period | intraoperative hypertensive episodes requiring SNP therapy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| vasoactive therapy | intraoperative period | hemodynamic fluctuations (hypotension, tachycardia, severe hypertensive crisis) which needed vasoactive therapy. |