The International Journal of Romanian Society of Endocrinology / Registered in 1938

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  • Actualities in medicine

    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.