Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia: A case report.
- Author:
Jung Kyu PARK
1
;
Kwang Rae CHO
;
Soon Ho CHEONG
;
Kun Moo LEE
;
Jeong Han LEE
;
Myoung hun KIM
;
Wonjin LEE
;
Ji yong LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Inje University Busan Paik Hospital, Busan, Korea. maeteost@hanmail.net
- Publication Type:Case Report
- Keywords:
Hyperthyroidism;
Intravenous anesthesia;
Thyroid storm
- MeSH:
Agranulocytosis;
Anesthesia, Intravenous*;
Emergencies;
Hemodynamics;
Humans;
Hyperthyroidism;
Judgment;
Propofol;
Thyroid Crisis;
Thyrotoxicosis*
- From:Anesthesia and Pain Medicine
2014;9(1):41-43
- CountryRepublic of Korea
- Language:Korean
-
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 < 0.005 IU/L, free T4 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.
