PMID: 6108356Oct 1, 1980Paper

The intraoperative medical management of childhood pheochromocytoma

Journal of Pediatric Surgery
D Ellis, J C Gartner

Abstract

The intraoperative medical management of eight children, ages 6--15 yr, with familial benign pheochromocytoma is described. All patients received a standardized regimen of alpha- and beta-adrenergic blocking drugs during a preoperative period ranging from 5 to 20 days. In six patients, all symptoms, including diaphoresis, palpitations and hypertension became well-controlled and the operative course was uneventful. In two others the cardiovascular symptoms persisted despite gradual increases in the above medications; in these two patients, the addition of sodium nitroprusside resulted in satisfactory titration of blood pressure and permitted performance of the operation with minimal complications. The specific treatment guidelines used in our patients may reduce the intraoperative complications previously encountered in this tumor.

References

Apr 1, 1960·American Journal of Surgery·D M HUME

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Citations

May 7, 2008·Pediatric Surgery International·Jaswinder SinghG D Puri
Jul 16, 2003·Journal of Pediatric Surgery·Jason A SpectorHoward B Ginsburg
Mar 1, 1990·Archives of Disease in Childhood·J E DealM J Dillon
Aug 1, 1993·Clinical Pediatrics·D Ellis
Feb 1, 1985·Anaesthesia and Intensive Care·G R Harrison, J M Davis

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