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Anesth Analg 1977; 56:62-67
© 1977 International Anesthesia Research Society
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Enflurane Anesthesia for Surgical Removal of Pheochromocytoma

GREGORY F. JANECZKO, MD*, ANTHONY D. IVANKOVICH, MD{dagger}, SILAS N. GLISSON, PhD{ddagger}, HAROLD J. HEYMAN, MD§, ADEL A. EL-ETR, MD||, and RONALD F. ALBRECHT, MD**

* Assistant Professor, Department of Anesthesiology, Loyola University Stritch School of Medicine, May-wood, Illinois 60153. {dagger}Professor and Chairman, Department of Anesthesiology, Illinois Masonic Medical Center, Chicago, Illinois. {ddagger}Assistant Professor, Department of Anesthesiology, Loyola University Stritch School of Medicine. §Clinical Assistant Professor, Department of Anesthesiology, Illinois Masonic Medical Center. ||Professor and Chairman, Department of Anesthesiology, Loyola University Stritch School of Medicine. **Chairman, Department of Anesthesiology, Michael Reese Medical Center, Chicago, Illinois.

Abstract

Four cases describing the use of enflurane as the main anesthetic during surgical removal of pheochromocytoma (PCC) are presented and the preoperative preparation and intraoperative management of the patients are discussed. Serum levels of epinephrine and norepinephrine were measured in 3 of the reported cases. Intraoperative values were extremely elevated during tumor manipulation, but there was only 1 minor episode of arrhythmias. Criteria for choosing anesthetic agents for surgical removal of PCC are outlined. The authors conclude from their experience and that of others that enflurane is as safe and effective an anesthetic as any now available for PCC excision.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.