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Anesthesia management of pheochromocytoma excision surgery is associated with severe hemodynamic fluctuations.The objective of this study was to compare the hypertensive episodes requiring sodium nitroprusside administration between the group treated with magnesium-dexmedetomidine and conventional group in pheochromocytoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional group (GC) | Not receive perioperative additional medication. | ||
| Magnesium-dexmedetomidine therapy group (GMD) | Received oral 300 mg magnesium one week before surgery and magnesium-dexmedetomidine combination perioperatively. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnesium-Dexmedetomidine | Drug | Received oral 300 mg magnesium one week before surgery and magnesium-dexmedetomidine combination perioperatively |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sodium nitroprusside (SNP) requirement | intraoperative hypertensive episodes requiring SNP therapy | intraoperative period |
| Measure | Description | Time Frame |
|---|---|---|
| vasoactive therapy | hemodynamic fluctuations (hypotension, tachycardia, severe hypertensive crisis) which needed vasoactive therapy. | intraoperative period |
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Inclusion Criteria:
Exclusion Criteria:
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Patients' data who were aged 18-75, had the American Society of Anesthesiologists classification (ASA) 1-3 and high urinary catecholamine or metabolites. Patients with tumor sizes < 5 cm and body mass index (BMI) <35 kg.m-2 were examined, who were evaluated according to Endocrine Society Practice Guideline and provided the Roizen criteria.
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| Name | Affiliation | Role |
|---|---|---|
| NĂ¼khet Sivrikoz, MD | Attending anesthesiologist | Principal Investigator |
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| ID | Term |
|---|---|
| D010673 | Pheochromocytoma |
| ID | Term |
|---|---|
| D010235 | Paraganglioma |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
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| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |