Protocol for presurgical and anesthetic management of pheochromocytomas and sympathetic paragangliomas: a multidisciplinary approach.
Marta Araujo-CastroE Pascual-CorralesL Nattero ChavezA Martínez LorcaT Alonso-GordoaJ Molina-CerrilloJ Lorca ÁlvaroC Mínguez OjedaS Redondo LópezR Barberá DurbánR Polo LópezN Moreno MataU Caballero SilvaH PianI Ruz-CaracuelA Sanjuanbenito DehesaV Gómez Dos SantosA B Serrano RomeroPublished in: Journal of endocrinological investigation (2021)
An optimal presurgical evaluation of pheochromocytomas/ sympathetic PGL requires a multidisciplinary approach, including a complete hormonal, radiological, cardiac, genetic, and functioning evaluation in most cases. A proper preoperative evaluation in combination with strict blood pressure and heart rate control, and blood volume status optimization, will significantly reduce the risk of intraoperative and perioperative complications. In those patients who unfortunately develop intraoperative complications, the role of the anesthesiologist is essential since the selection of the appropriate management has a direct impact on morbimortality reduction.
Keyphrases
- heart rate
- blood pressure
- patients undergoing
- heart rate variability
- risk factors
- randomized controlled trial
- left ventricular
- quality improvement
- cardiac surgery
- heart failure
- type diabetes
- adipose tissue
- genome wide
- skeletal muscle
- acute kidney injury
- metabolic syndrome
- insulin resistance
- polycystic ovary syndrome
- weight loss