Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia: A case report
Anesthesia and Pain Medicine
; : 41-43, 2014.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-56310
Responsible library:
WPRO
ABSTRACT
It is uncommon that anesthesiologists experience patients with thyroid storms. In our case, the patient had been medicated for 5 years, however, she developed agranulocytosis. Anti-thyroid drugs were stopped and hyperthyroidism progressed. Her symptoms and laboratory results revealed manifestation of thyroid storm TSH of 7.77 ng/dl, T3 of 403.1 ng/dl, and T4 of 22.15 microg/dl. The euthyroid state had not been achieved before the surgery. From the judgment of difficulty controls of hyperthyroidism, the surgeon requested for an emergency operation. We report a case of total intravenous anesthesia with propofol and remifentanil which achieved hemodynamic stability.
Full text:
Available
Health context:
SDG3 - Target 3D Strengthen the capacity for early warning, risk reduction and management of national and global health risks
Health problem:
Hydrometeorological and Geophysical Hazards
Database:
WPRIM (Western Pacific)
Main subject:
Thyrotoxicosis
/
Thyroid Crisis
/
Propofol
/
Agranulocytosis
/
Emergencies
/
Hemodynamics
/
Hyperthyroidism
/
Judgment
/
Anesthesia, Intravenous
Limits:
Humans
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2014
Document type:
Article