Abstract
Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 144-146 |
| Number of pages | 3 |
| Journal | International Journal of Critical Illness and Injury Science |
| Volume | 9 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 1 2019 |
| Externally published | Yes |
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Keywords
- Hypertensive crisis
- intraoperative emergency
- pheochromocytoma
- spinal anesthesia
ASJC Scopus subject areas
- Emergency Medicine
- Public Health, Environmental and Occupational Health
- Critical Care and Intensive Care Medicine
Cite this
Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma. / Potnuru, Paul; Saba, Isabela C.; Osman, Brian M.
In: International Journal of Critical Illness and Injury Science, Vol. 9, No. 3, 01.07.2019, p. 144-146.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hypertensive crisis during spinal anesthesia due to undiagnosed pheochromocytoma
AU - Potnuru, Paul
AU - Saba, Isabela C.
AU - Osman, Brian M.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.
AB - Undiagnosed pheochromocytoma poses significant intraoperative challenges to the anesthesiologist. These tumors generally cause profound hypotension after spinal anesthesia. We present an unusual case of a hypertensive crisis occurring in a patient under spinal anesthesia. Due to intraoperative hemodynamic instability, the case was converted to general anesthesia with a volatile anesthetic. Postoperative workup was consistent with a pheochromocytoma. Pheochromocytomas are rare, but given their significant intraoperative morbidity and mortality, they should be considered in the differential diagnosis of unexpected intraoperative hemodynamic changes.
KW - Hypertensive crisis
KW - intraoperative emergency
KW - pheochromocytoma
KW - spinal anesthesia
UR - http://www.scopus.com/inward/record.url?scp=85073415607&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85073415607&partnerID=8YFLogxK
U2 - 10.4103/IJCIIS.IJCIIS-82-18
DO - 10.4103/IJCIIS.IJCIIS-82-18
M3 - Article
AN - SCOPUS:85073415607
VL - 9
SP - 144
EP - 146
JO - International Journal of Critical Illness and Injury Science
JF - International Journal of Critical Illness and Injury Science
SN - 2229-5151
IS - 3
ER -