Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia: A case report
Anesthesia and Pain Medicine
; : 41-43, 2014.
Article
em Ko
| WPRIM
| ID: wpr-56310
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Tireotoxicose
/
Crise Tireóidea
/
Propofol
/
Agranulocitose
/
Emergências
/
Hemodinâmica
/
Hipertireoidismo
/
Julgamento
/
Anestesia Intravenosa
Limite:
Humans
Idioma:
Ko
Ano de publicação:
2014
Tipo de documento:
Article