Abstract:
Anesthetic management of pheochromocytoma is complicated and challenging. Extraadrenal
pheochromocytoma is a rare neuroendocrine tumor that produces, stores and secretes catecholamines. The
mainstay
in the management of pheochromocytoma surgeries is Preoperative preparation which has
improved perioperative outcome. Modern anesthetic drugs with advanced monitoring have contributed to
intraoperative stability. Resection of the tumor results in acute withdrawal of catecholamines, which may lead
to severe hypotension. In perioperative period, adequate hydration should be maintained. Betablockers,
nitroglycerine, sodium nitroprusside and phenylephrine are required to avoid hemodynamic fluctuations and
should be used appropriately.
