Phaeochromocytoma and pregnancy: anaesthetic management about two cases

Annales Françaises D'anesthèsie Et De Rèanimation
D BierlaireL Bessout

Abstract

Phaeochromocytoma during pregnancy is an uncommon situation and there are only few reports on the anaesthetic management of these patients at the time of the caesarean section. These cases require a multidisciplinary collaboration. We reported two cases of parturient with late diagnosis of noradrenergic phaeochromocytoma. Caesarean section was made in both cases before the delayed surgical treatment of the phaeochromocytoma itself. We precisely described the hypertension management before caesarean section in both cases and the anaesthetic techniques used for the surgery: general anaesthesia in the first case and locoregional anaesthesia in the second one. General anaesthesia used to be the most described technique in the past years. However, some arguments seem to indicate that locoregional anaesthesia could be a better technique in terms of peroperative hypertension control and fetal morbidity. Moreover, magnesium sulfate should be considered as a first line treatment for the control of peroperative hypertension. Our second case is one more description of the use of locoregional anaesthesia in this particular situation, as it was previously poorly reported. Further studies are needed to definitely assess the superiority of lo...Continue Reading

References

Feb 1, 1982·The Australian & New Zealand Journal of Obstetrics & Gynaecology·J G Schenker, M Granat
Jun 13, 1998·American Journal of Perinatology·J Bailit, M Neerhof
Feb 25, 1999·World Journal of Surgery·C D SmithJ R Amerson
Jul 19, 2002·ANZ Journal of Surgery·Stephen H PillingerStan Sidhu
Feb 10, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Geoff DugasJames Watson
Jan 4, 2005·International Journal of Obstetric Anesthesia·I BrowneK McKeating
Aug 17, 2006·Internal Medicine Journal·S GrodskiS Banting

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