Central Venous Pressure Guided Fluid Management During Anaesthesia of a Phaeochromocytoma Patient with End Stage Renal Disease
,
Abstract
A 42-year-old male with a 2-year history on dialysis for renal failure was admitted for adrenalectomy. We applied central venous catheter for this phaeochromocytoma case before the induction of anaesthesia. Although he had no weight change in his last dialysis, he was suffering severe volume depletion despite high arterial blood pressure. There was deep discrepancy between central venous and arterial blood pressure before and during anaesthesia of this patient. We strongly recommend central venous guided fluid management started before the induction of anaesthesia in these cases despite controversial studies.
Ramakrishna H. Pheochromocytoma resection: Current concepts in anesthetic management. J Anaesthesiol Clin Pharmacol. 2015; 31(3):317-23.
James MFM, Prys-Roberts C. Phaeochromocytoma-recent progress in its management. Br J Anaesth. 2001; 86(4):594-5.
Godfrey JA, Rickman OB, Williams AW, Thompson GB, Young WF Jr. Pheochromocytoma in a patient with end-stage renal disease. Mayo Clin Proc. 2001; 76(9):953-7.
Saeki T, Suzuki K, Yamazaki H, Miyamura S, Koike H, Morishita H, et al. Four cases of pheochromocytoma in patients with end-stage renal disease. Intern Med. 2003; 42(10):1011-5.
Maeda T, Kozakai N, Nishiyama T, Sugiura H, Nakamura K. [Pheochromocytoma with chronic renal failure: a case report]. Hinyokika Kiyo. 2009; 55(7):409-12.
Fernandes GH, Silva Júnior GB, Garcia JHP, Sobrinho CRM, Albuquerque PLMM, Libório AB, et al. Delayed diagnosis of pheochromocytoma associated with chronic kidney disease. Indian J Nephrol. 2010; 20(3):166-7.
Fujii M, Kawabata Y, Hayashi T, Nishimae H, Masuko S, Nosaka S. Anesthetic management for laparoscopic resection of adrenal pheochromocytoma in a woman with chronic renal failure. Masui. 2010; 59(3):393-6.
Nakaigawa N, Komatsu R, Kamata K, Ozaki M. [Anesthetic management of a patient with pheochromocytoma and end-stage renal disease]. Masui. 2010; 59(6):734-7.
Yao F-S, Fontes M, Malhotra V, eds. Yao and Artusio’s Anesthesiology. 7th ed. Wolter’s Kluwer, Lippincott William & Wilkins; 2012.
Janssens U, Graf J. [Volume status and central venous pressure]. Anaesthesist. 2009; 58(5):513-9.
Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013; 41(7):1774-81.
Ahmed A. Perioperative management of pheochromocytoma: Anaesthetic implications. J Pak Med Assoc. 2007; 57(3):140-6.
Weingarten TN, Sprung J, Munis JR. Peripheral venous pressure as a measure of venous compliance during pheochromocytoma resection. Anesth Analg. 2004; 99(4):1035-7.
Eisenhofer G, Huysmans F, Pacak K, Walther MM, Sweep FCGJ, Lenders JWM. Plasma metanephrines in renal failure. Kidney Int. 2005; 67(2):668-77.
Damman K, van Deursen VM, Navis G, Voors AA, van Veldhuisen DJ, Hillege HL. Increased Central Venous Pressure Is Associated With Impaired Renal Function and Mortality in a Broad Spectrum of Patients With Cardiovascular Disease. J Am Coll Cardiol. 2009;53(7):582-8.
| Files | ||
| Issue | Vol 3 No 4 (2017): Autumn |
|
| Section | Case Report(s) | |
| Keywords | ||
| phaeochromocytoma renal failure central venous pressure | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
