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Anesthetic experience in a clinically euthyroid patient with hyperthyroxinemia and suspected impairment of T4 to T3 conversion: a case report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 144-147, 2014.
Artículo en Inglés | WPRIM | ID: wpr-59016
ABSTRACT
We report an anesthetic experience in a clinically euthyroid patient with hyperthyroxinemia (elevated free thyroxine, fT4 and normal 3, 5, 3'-L-triiodothyronine, T3) and suspected impairment of conversion from T4 to T3. Despite marked hyperthyroxinemia, this patient's perioperative hemodynamic profile was suspected to be the result of hypothyroidism, in reference to the presence of T4 to T3 conversion disorder. We suspected that pretreatment with antithyroid medication before surgery, surgical stress and anesthesia may have contributed to the decreased T3 level after surgery. She was treated with liothyronine sodium (T3) after surgery which restored her hemodynamic profile to normal. Anesthesiologists may be aware of potential risk and caveats of inducing hypothyroidism in patients with euthyroid hyperthyroxinemia and T4 to T3 conversion impairment.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Sodio / Tiroxina / Triyodotironina / Hipertiroxinemia / Trastornos de Conversión / Hemodinámica / Hipotiroidismo / Anestesia Límite: Humanos Idioma: Inglés Revista: Korean Journal of Anesthesiology Año: 2014 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Sodio / Tiroxina / Triyodotironina / Hipertiroxinemia / Trastornos de Conversión / Hemodinámica / Hipotiroidismo / Anestesia Límite: Humanos Idioma: Inglés Revista: Korean Journal of Anesthesiology Año: 2014 Tipo del documento: Artículo