Anaesthesia for Laparoscopic removal of pheochromocytoma - presents a great challenge for anaesthesiologist and operating surgeon. [CO 2 and Tumor] 1) Simplifying concepts are optimising Blood pressure with Alpha blockers , initially , — followed by a combination / addition of calcium channel blockers, Angiotensin receptor blockers , Finally by beta blockers . We added Zolpidem 10 mg for a pheochromocytoma patient with bipolar disorder (psychiatric). With A BALANCED ANTI-HYPERTENSIVE treatment— Control is much easier and rapid.
2) Doses titrated to achieve reasonably optimal blood pressure and heart rate. 3) On the night before surgery — Along with routine doses of antihypertensives — Anxiolytics like Zolpidem or Lorazepam etc are given . 4) On the day of surgery - Anti hypertensives and Anxiolytics are repeated as per requirements. 5) Arterial line, Central venous Line…
