Gunjan Badwaik1, Charuta Gadkari2, Anjali Bhure3, Nitin Chopde4
Pheochromocytoma is a potentially lethal catecholamine secreting tumor of chromaffin tissues of the adrenal medulla and sympathetic chain. [1] Incidence across the globe is around 1 to 2 per million population. [2] Reported incidence in the United States is 1.55 to 2.1 per million populations per year. [3] This tumour is also rare in Indian population n but its actual incidence is not yet reported. The perioperative management of pheochromocytoma remains a complicated anaesthesia challenge requiring intensive preoperative preparation and vigilant intraoperative and postoperative care. The provision of implantable pacemakers and implantable cardioverter defibrillators (ICDs) to treat abnormal heart rhythms is increasing and as a consequence more patients with these devices are likely to present for elective or emergency surgery. Currently more than 5,00,000 patients in the United States have pacemakers and nearly 1,15,000 new devices are implanted each year. [4] Although, no definite figures are available the number is also increasing in India. Both the above conditions individually present great problems in perioperative period. We are presenting a case of anaesthetic management of a patient of both these co morbidities i.e. pheochromocytoma in a patient of implanted permanent pacemaker
