October - December 2021, Volume 17, Issue 4

Godoroja–Diarto D, Moldovan C, Tomulescu V

Actualities in the Anaesthetic Management of Pheochromocytoma / Paraganglioma

Acta Endo (Buc) 2021, 17 (4): 557-564
doi: 10.4183/aeb.2021.557

The anaesthetic management of pheochromocytoma is complicated and challenging. However, preoperative pharmacologic preparation, modern anaesthetic techniques and drugs associated with advanced monitoring in conjunction with the evolution of surgical techniques (open laparotomy to laparoscopic surgery and robotic approaches in the present day) improved significantly perioperative outcome, and intraoperative and postoperative hemodynamic stability. Although there are not randomised clinical trials to suggest one approach over another and there is a high international variability amongst intraoperative anaesthetic techniques, most management principles are still universal.

Keywords: pheochromocytoma, anaesthesia, pharmacology, intraoperative management

Correspondence: Cosmin Moldovan MD, “Titu Maiorescu” University, Faculty of Medicine, 67A Gheorghe Petrascu Street, 031593, 3rd District, Bucharest, Romania, E-mail: cosmin.moldovan@prof.utm.ro