Use of clevidipine for intraoperative hypertension caused by an undiagnosed pheochromocytoma: A case report

AANA Journal

Volumn 78, Issue 4, 2010, Pages 288-290

  Kline, Jonathan P ^a  

^a Bayfront Med Center St Petersburg   (United States)

Author keywords

Catecholamine response; Clevidipine (cleviprex); Intraoperative hypertension; Pheochromocytoma

Indexed keywords

ADRENALIN; CATECHOLAMINE; CLEVIDIPINE; ESMOLOL; FENTANYL; GLYCERYL TRINITRATE; HYDRALAZINE; LABETALOL; LIDOCAINE; PHENTOLAMINE; SEVOFLURANE; ANTIHYPERTENSIVE AGENT; PYRIDINE DERIVATIVE;

ARTICLE; CANCER DIAGNOSIS; CANCER SURGERY; CASE REPORT; CATECHOLAMINE URINE LEVEL; DIZZINESS; DRUG DOSE ESCALATION; DRUG USE; EXTUBATION; GENERAL ANESTHESIA; HEADACHE; HEART HEMODYNAMICS; HUMAN; HYPERTENSION; INCIDENTAL FINDING; INTRAOPERATIVE PERIOD; LAPAROSCOPIC SURGERY; MALE; MANDIBLE FRACTURE; MAXILLOFACIAL SURGERY; ORBIT FRACTURE; PHEOCHROMOCYTOMA; STRESS; TACHYCARDIA; ADRENAL GLAND NEOPLASMS; ADULT; COMPLICATION; INTRAOPERATIVE COMPLICATIONS; MAXILLARY FRACTURES; NURSE ANESTHETIST;

ADRENAL GLAND NEOPLASMS; ADULT; ANTIHYPERTENSIVE AGENTS; HUMANS; HYPERTENSION; INTRAOPERATIVE COMPLICATIONS; MALE; MAXILLARY FRACTURES; NURSE ANESTHETISTS; PHEOCHROMOCYTOMA; PYRIDINES;

EID: 77957655932     PISSN: 00946354     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (15)

1. Golden SH, Robinson KA, Saldanha I, Anton B, Ladenson PW Clinical review: prevalence and incidence of endocrine and metabolic disorders in the United States: a comprehensive review. J Clin Endocrinol Metdb. 2009;94(6): 1853-1878.
2. Neumann HP, Vortmeyer A, Schmidt D, et al. Evidence of MEN-2 in the original description of classic pheochromocytoma. N Engl J Med 2007;357(13):1311-1315.
3. Elakovic D, Manojlovic D, Milovic N. Surgical treatment of pheochromocytoma - personal experience [Serbian]. Srp Arh Celok Lek. 2002; 130(suppl 2):31-37.
4. Van Braeckel P, Carlier S, Steelant PJ, Weyne L, Vanfleteren L. Perioperative management of pheochromocytoma. Acta Anaesthesiol Belg. 2009;60(1):55-66.
5. Pacak K. Preoperative management of the pheochromocytoma patient. J Clin Endocrinol Metdb. 2007;92(11):4069-4079.
6. Goldstein DS, Eisenhofer G, Flynn JA, Wand G, Pacak K. Diagnosis and localization of pheochromocytoma. Hypertension. 2004;43(5):907-910.
7. Myklejord DJ. Undiagnosed pheochromocytoma: the anesthesiologist nightmare. Clin Med Res. 2004;2(1):59-62.
8. Williams DT, Dann S, Wheeler MH. Phaeochromocytoma: views on current management. Eur J Surg Oncol. 2003;29(6):483-490.
9. Holldack HJ. Induction of anesthesia triggers hypertensive crisis in a patient with undiagnosed pheochromocytoma: could rocuronium be to blame? J Cardiothorac Vase Anesth. 2007;21(6):858-862.
10. Ogata J, Yokoyama T, Okamoto T, Minami K. Managing a tachyarrythmia in a patient with pheochromocytoma with landiolol, a novel ultrashort-acting beta-adrenergic blocker. Anesth Analg. 2003;97(1):294-295.
11. Aronson S, Dyke CM, Stierer KA, et al. The ECLIPSE trials: comparative studies of clevidipine to nitroglycerine, sodium nitroprusside, and nicardipine for acute hypertension treatment in cardiac surgery patients. Anesth Analg. 2008;107(4):1110-1121.
12. Ericsson H, Bredberg U, Ericsson U, Jolin-Mellgard A, Nordlander M, Regardh CG. Pharmacokinetics and arteriovenous differences in clevidipine concentration following a short- and long-term intravenous infusion in healthy volunteers. Anesthesiology. 2000;92(4):993-1001. (Pubitemid 30180975)
13. Ndefo UA, Erowele GI, Ebiasah R, Green W Clevidipine: a new intravenous option for the management of acute hypertension. Am J Health Syst Pharm. 2010;67(5):351-360.
14. Bailey JM, Lu W, Levy JH, et al. Clevidipine in adult cardiac surgical patients: a dose-finding study. Anesthesiology. 2002;96(5): 1086-1094.
15. Prlesi L, Cheng-Lai A. Clevidipine: a novel ultra-short-acting calcium antagonist. Cardiol Rev. 2009;17(3):147-152.