Pheochromocytoma - A tricky tough case, for anaesthesiologists, requiring many infusion pumps, infusions, monitoring lines etc. Here is a series of 5 cases done in a new different and easy way. After securing IV, arterial line, central lines, given spinal anaesthesia with 4cc Bupivacaine + Dexmedetomidine 200 micrograms, at L1-L2 intervertebral space, with a 27G spinal needle, in head down position. Cause: Spinal anaesthesia blocks the adrenal gland, and lets us control blood pressures easily. General Anaesthesia is given in a routine way, but with only 2mg Vecuronium as maintenance relaxant.
4mg Vecuronium as increments. The patient was positioned, and laparoscopic removal of pheochromocytoma was done on both sides. No infusions were used 2 ampoules of magnesium in IV fluid, Nifedipine 10 mg sublingual, isoflurane. Another 4 mg Vecuronium as increments were given. Surgery went on for…
