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 ISI 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
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (8)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by James, M. F.
Right arrow Articles by Cronjé, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by James, M. F.
Right arrow Articles by Cronjé, L.
Related Collections
Right arrow Cardiovascular
Right arrow Resuscitation
Right arrow Pharmacology

Anesth Analg 2004;99:680-686
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000133136.01381.52

CARDIOVASCULAR ANESTHESIA

Pheochromocytoma Crisis: The Use of Magnesium Sulfate

Michael F. James, PhD FCA(SA)*, and Larissa Cronjé, FCA(SA){dagger}

*Department of Anaesthesia, University of Cape Town, Cape Town, Western Cape, South Africa; and {dagger}Department of Anaesthesia, The University of KwaZulu-Natal, KwaZulu-Natal, South Africa

Address correspondence to Michael F. James, PhD, FCA(SA), Department of Anesthesia, University of Cape Town Faculty of Health Sciences, Anzio Road, Observatory 7925, Cape Town, Western Cape, South Africa. Address e-mail to james{at}cormack.uct.ac.za Reprints will not be available from the authors.

Pheochromocytoma crisis is a rare life-threatening event that may appear with a variety of clinical symptoms. We present three cases of life-threatening crisis in which magnesium sulfate was particularly beneficial in controlling symptoms and signs when more conventional forms of therapy had failed. Two patients presented with hypertensive encephalopathy, and the third presented with catecholamine-induced cardiomyopathy. All three patients successfully underwent tumor excision with magnesium sulfate used as the sole drug for control of hemodynamic disturbances during surgery. The problems of pheochromocytoma crisis and the potential benefits of magnesium sulfate in this condition are reviewed.

IMPLICATIONS: Pheochromocytoma crisis is a life-threatening condition that requires expert management. The effective use of magnesium sulfate is described in three cases in which conventional management had failed.




This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
D. H. van Zijl, P. C. Gordon, and M. F. James
The Comparative Effects of Remifentanil or Magnesium Sulfate Versus Placebo on Attenuating the Hemodynamic Responses After Electroconvulsive Therapy
Anesth. Analg., December 1, 2005; 101(6): 1651 - 1655.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.