Refractory hypotension during spinal anesthesia for Cesarean delivery due to undiagnosed pheochromocytoma

被引：7
|
作者：
Johnson, Rebecca L. [1 ]
Arendt, Katherine W. [1 ]
Rose, Carl H. [2 ]
Kinney, Michelle A. O. [1 ]
机构：
[1] Mayo Clin, Coll Med, Dept Anesthesiol, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Dept Maternal Fetal Med, Rochester, MN 55905 USA
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2013年 / 25卷 / 08期
关键词：
Anesthesia: obstetrical; Cesarean section; Hypotension; Pheochromocytoma; Pregnancy-induced hypertension; Spinal anesthesia; PREGNANCY; VASOPRESSIN; SECTION; PREECLAMPSIA; MANAGEMENT; MECHANISMS; RESECTION;
D O I：
10.1016/j.jclinane.2013.04.015
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码：672 / 674
页数：3
相关论文
共 50 条
  • [1] Maternal Hypotension During Spinal Anesthesia for Cesarean Delivery
    Mavridou I.
    Stewart A.
    Fernando R.
    Current Anesthesiology Reports, 2013, 3 (4) : 282 - 291
  • [2] Refractory hypotension under neuraxial anesthesia for cesarean delivery
    Li ShuYing
    Chen XiaoJing
    Lin XueMei
    中华医学杂志(英文版), 2019, 132 (12) : 1509 - 1510-1511
  • [3] Refractory hypotension under neuraxial anesthesia for cesarean delivery
    Li, Shu-Ying
    Chen, Xiao-Jing
    Lin, Xue-Mei
    CHINESE MEDICAL JOURNAL, 2019, 132 (12) : 1509 - 1511
  • [4] Prophylactic phenylephrine infusion for preventing hypotension during spinal anesthesia for cesarean delivery
    Kee, WDN
    Khaw, KS
    Ng, FF
    Lee, BB
    ANESTHESIA AND ANALGESIA, 2004, 98 (03): : 815 - 821
  • [5] Prophylactic Norepinephrine Infusion for Preventing Hypotension During Spinal Anesthesia for Cesarean Delivery
    Kee, Warwick D. Ngan
    Lee, Shara W. Y.
    Ng, Floria F.
    Khaw, Kim S.
    ANESTHESIA AND ANALGESIA, 2018, 126 (06): : 1989 - 1994
  • [6] Prophylactic ephedrine and hypotension associated with spinal anesthesia for cesarean delivery
    King, SW
    Rosen, MA
    INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 1998, 7 (01) : 18 - 22
  • [7] Use of vasopressors to manage spinal anesthesia-induced hypotension during cesarean delivery
    Park, Hee-Sun
    Choi, Woo-Jong
    ANESTHESIA AND PAIN MEDICINE, 2024, 19 (02): : 85 - 93
  • [8] Phenylephrine during spinal anesthesia for cesarean delivery
    Eve Charest
    Julie Bédard
    Natalie Albert
    Esther Breton
    Canadian Journal of Anaesthesia, 2008, 55 (Suppl 1) : 4752801 - 4752802
  • [9] Maternal hypotension during spinal anesthesia for caesarean delivery
    Mercier, F. J.
    Auge, M.
    Hoffmann, C.
    Fischer, C.
    Le Gouez, A.
    MINERVA ANESTESIOLOGICA, 2013, 79 (01) : 62 - 73
  • [10] Positional Blood Pressure Change and the Risk of Hypotension During Spinal Anesthesia for Cesarean Delivery: An Observational Study
    Jeon, Young-Tae
    Hwang, Jung-Won
    Kim, Mi-Hyun
    Oh, Ah-Young
    Park, Kyo Hoon
    Park, Hee-Pyoung
    Lee, Younsuk
    Do, Sang-Hwan
    ANESTHESIA AND ANALGESIA, 2010, 111 (03): : 712 - 715
12345