JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sparks, J. W.
Right arrow Articles by McGowan, F. X.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sparks, J. W.
Right arrow Articles by McGowan, F. X.
Related Collections
Right arrow Heart
Right arrow Pediatrics

Anesth Analg 2005;100:972-975
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000146433.84742.3A

PEDIATRIC ANESTHESIA

The Perioperative Management of a Patient with Complex Single Ventricle Physiology and Pheochromocytoma

J. William Sparks, MD*, Christian Seefelder, MD*, Robert C. Shamberger, MD{ddagger}, and Francis X. McGowan, MD{dagger}

*Division of Perioperative Medicine and {dagger}Division of Cardiac Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, and {ddagger}Department of Surgery, Children's Hospital and Harvard Medical School, Boston, Massachusetts

Address correspondence and reprint requests to Christian Seefelder, MD, Department of Anesthesia, Children's Hospital, 300 Longwood Ave, Boston, MA 02115. Address e-mail to christian.seefelder{at}childrens.harvard.edu.

Pheochromocytoma is associated with intense physiologic effects of {alpha}- and ß-adrenergic stimulation from catecholamine secretion. Perioperative management for these patients includes {alpha}-adrenergic receptor blockade, intravascular volume replacement, and, if necessary, ß-adrenergic receptor blockade. Significant perioperative changes in preload and afterload, fluid status, heart rate and rhythm, and inotropy can occur and may be contrary to anesthetic management goals for patients with certain conditions of congenital heart disease. We report the perioperative management with doxazosin of a patient with single ventricle physiology and cavo-pulmonary and aorto-pulmonary lung perfusion who presented for resection of a pheochromocytoma.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.