Anaesthetic Management of Pheochromocytoma with Patient on Antipsychotic Medication

Pheochromocytoma is a catecholamine secreting tumor arising from adrenal medulla or chromaffin cells or around sympathetic ganglia. The definitive treatment for pheochromocytoma is surgical excision of tumor which poses a great challenge to anaesthesiologist. Preoperative evaluation, control of hypertension with alpha adrenergic antagonists, meticulous intraoperative management of haemodynamics and postoperative care in ICU remains mainstay. Genetic testing should be done in first degree relatives or when genetic syndrome is suspected.