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  • Title: Catecholamine-secreting neuroblastoma in a 4-month-old infant: perioperative management.
    Author: Hernandez MR, Shamberger RC, Seefelder C.
    Journal: J Clin Anesth; 2009 Feb; 21(1):54-6. PubMed ID: 19232942.
    Abstract:
    Preoperative alpha- and beta-adrenergic receptor block with phenoxybenzamine and labetalol, the intraoperative course of a 4-month-old infant with neuroblastoma and elevated catecholamines causing sweating, hypertension, and tachycardia, are presented. We recommend determination of catecholamine levels and pretreatment with alpha-adrenergic and--if needed--beta-adrenergic receptor antagonists in infants with neuroblastoma and hypertension, tachycardia, or sweating.
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