ICU SAQs · Endocrine & metabolic emergencies
Pheochromocytoma crisis — the management
A CICM Second-Part SAQ on the pheochromocytoma crisis — the alpha-first, the metoclopramide trigger, the crisis the antihypertensive.
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Prompt
A patient with a known adrenal mass presents with paroxysmal severe hypertension (240/130), headache, sweating and palpitations after a metoclopramide dose. Outline the management.
Question
A patient with a known adrenal mass presents with paroxysmal severe hypertension (240/130), headache, sweating and palpitations after a metoclopramide dose. Outline the management.
[5]References3ShowHide
- [1]Bartikoski SR, Reschke DJ Pheochromocytoma Crisis in the Emergency Department. Cureus, 2021.PMID 33833909
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [5]Kuo EJ, Chen L, Wright JD, et al. Phenoxybenzamine is no longer the standard agent used for alpha blockade before adrenalectomy for pheochromocytoma: A national study of 552 patients Surgery, 2023.PMID 36167697