Central Venous Pressure Guided Fluid Management During Anaesthesia of a Phaeochromocytoma Patient with End Stage Renal Disease

Abstract

A 42-year-old male with a 2-year history on dialysis for renal failure was admitted for adrenalectomy. We applied central venous catheter for this phaeochromocytoma case before the induction of anaesthesia. Although he had no weight change in his last dialysis, he was suffering severe volume depletion despite high arterial blood pressure. There was deep discrepancy between central venous and arterial blood pressure before and during anaesthesia of this patient. We strongly recommend central venous guided fluid management started before the induction of anaesthesia in these cases despite controversial studies.

Keywords

• phaeochromocytoma
• renal failure
• central venous pressure