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- Title
Intraoperative hemodynamics monitoring in a patient with pheochromocytoma multisystem crisis: a case report.
- Authors
Kato, Atsuko; Tamai, Hisayoshi; Uchida, Kanji; Ikeda, Takamitsu; Yamada, Yoshitsugu
- Abstract
Background: Pheochromocytoma is a rare catecholamine-secreting tumor. To evaluate the intraoperative hemodynamics with precision is difficult.Case presentation: A 42-year-old man, who suddenly developed a life-threatening pheochromocytoma multisystem crisis that occurred during preoperative prophylactic medication, underwent urgent bilateral adrenalectomy. For the purpose of evaluating the intraoperative hemodynamics, we monitored both pulmonary artery catheter-based cardiac output (PACO) and arterial pressure-based cardiac output (APCO; FloTrac™). APCO fluctuated in poor agreement with the change in PACO, especially in the state of cytokine storming.Conclusions: Overall, the value of stroke volume variation derived from FloTrac™ changed in tandem with the intraoperative volume status, indicating its utility as a marker of circulatory hemodynamics.
- Subjects
HEMODYNAMICS; PHEOCHROMOCYTOMA; NEUROENDOCRINE tumors; FEMALE condoms; ADRENALECTOMY; CYTOKINES
- Publication
JA Clinical Reports, 2018, Vol 4, Issue 1, p1
- ISSN
2363-9024
- Publication type
Article
- DOI
10.1186/s40981-018-0173-2