Abstract
Intense vasospasm during hypertensive crisis as a cause for rhabdomyolysis has been described in ambulatory patients with pheochromocytoma. We report this phenomenon as an intraoperative complication in a patient during laparoscopic pheochromocytoma resection and discuss patient and procedure related risk factors. Unexplained intraoperative hyperkalemia following a severe hypertensive episode during surgery may be a first sign of rhabdomyolysis. Anesthesiologists should be aware of such a possibility. Intra- and postoperative serial electrolyte determinations and if suspected, timely screening for myoglobiuria, may aid in early detection and treatment of intraoperative rhabdomyolysis during pheochromocytoma resections.
| Original language | English |
|---|---|
| Pages (from-to) | 540-544 |
| Number of pages | 5 |
| Journal | Journal of Clinical Anesthesia |
| Volume | 15 |
| Issue number | 7 |
| DOIs | |
| State | Published - Nov 2003 |
Keywords
- Anesthesia
- Hyperkalemia
- Laparoscopic surgery
- Pheochromocytoma
- Renal failure
- Rhabdomyolysis
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