Octreotide
Median dose intraop was 350 mcg
30-4000 mcg have been given
Upto 1mg dose have been given during crisis.
Prophylactic dose of 50mcg/hour for 12 hours
H2 blockers can also be given to prevent histamine enhaneced hypotention
Avoid epinephrine and norepinephrine. Phenylephrine can be used carefully in small doses.
Avoid ondanstrone with maybe also cause QT prolongation like octreotide.
Betablocker, labetolol can be given for hypertension.
Avoid beta agonist for bronchospasm.
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