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BJA Advance Access published online on March 5, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh119
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted January 1, 2004

Case Reports

Skin blood flow and plasma catecholamine concentrations during removal of a phaeochromocytoma in a child

H. Mikasa 1, T. Sakuragi 2*, K. Higa 1, M. Yasumoto 1

1 Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka, Japan
2 Department of Anesthesiology, Chikushi Hospital Fukuoka University, 377-1 Ohaza-Zokumyoin, Chikushino-shi, Fukuoka, 818-8502, Japan

* To whom correspondence should be addressed. E-mail: sakuragi{at}cis.fukuoka-u.ac.jp.


  Abstract

A 9-yr-old boy with an adrenal phaeochromocytoma underwent removal of the tumour under general anaesthesia using sevoflurane and nitrous oxide combined with thoracic epidural anaesthesia. Skin blood flow in the first toe, as measured by laser Doppler flowmetry, markedly decreased during manipulation of the tumour and increased after removal of it. Skin blood flow correlated more significantly with plasma catecholamine concentrations than did mean arterial blood pressure. Skin blood flow may be used as a non-invasive measure of plasma catecholamine concentrations during removal of a phaeochromocytoma in paediatric patients.

Keywords: Keywords: blood, flow, skin; monitoring; pharmacology, neurotransmitter; surgery, paediatric


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