• A&A practice · Jan 2021

    Case Reports

    Telemedicine-Based Perioperative Management of Pheochromocytoma in a Patient With Von Hippel Lindau Disease: A Case Report.

    • Dane Saksa, Brian Shuch, Timothy Donahue, Lucas Cusumano, Run Yu, Catharina Alapag, and Nirav Kamdar.
    • From the Department of Anesthesiology and Perioperative Medicine.
    • A A Pract. 2021 Jan 14; 15 (1): e01378.

    AbstractWe present the case of a young woman with Von Hippel Lindau (VHL) disease who underwent a combined pheochromocytoma resection along with pancreaticoduodenectomy. Her preoperative management, including effective alpha-blockade, was conducted remotely via telemedicine video visits, patient-entered vital sign data, and secure messaging between provider and patient. Similar remote management was undertaken before a subsequent pheochromocytoma resection while the patient was pregnant, and both surgeries had positive outcomes. This represents the first time that telemedicine and mobile health monitoring have been successfully used for preoperative alpha-blockade in a high-acuity patient before a complex multivisceral surgery.Copyright © 2021 International Anesthesia Research Society.

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