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  • Title: Combined general and epidural anaesthesia for excision of phaeochromocytoma--a unique and safe technique.
    Author: Sotunmbi PT, Shittu OB, Windokun A, Eyelade OA.
    Journal: Afr J Med Med Sci; 2000; 29(3-4):319-22. PubMed ID: 11714015.
    Abstract:
    Surgical excision of phaeochromocytoma is usually associated with elevation of arterial blood pressure above 200 mmHg for some time irrespective of the use or not of preoperative alpha-adrenergic blockade. Attempts at controlling the elevated blood pressure usually involve the use of many drugs through induction, maintenance, termination and post operative period. We recently used a combined general and epidural anaesthesia for excision of a huge phaeochromocytoma in a 24 yr old Nigerian lady with a satisfactory outcome. The combined technique seemed to have modified the anaesthetic course considerably, resulting in the use of fewer drugs and a steady haemodynamic state which is very unusual in anaesthesising patients with phaeochromocytoma (see haemodynamic record Illustration II). Post-operative analgesia was provided with morphine given through the epidural catheter.
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