Alpha-blockade (blocking of alpha-adrenergic receptors with drugs) and restoration of intravascular volume will substantially reduce perioperative complications.
Treatment of tachycardia and other arrhythmias with b-blockade should only be given after alpha-blockade as it may worsen the hypertension. The management can be divided up into preoperative, intraoperative and postoperative.
1. Careful blood and fluid management. 2. When a bilateral adrenalectomy has been performed, steroid replacement is necessary.