Korean J Anesthesiol.  1991 Apr;24(2):442-445. 10.4097/kjae.1991.24.2.442.

Uneventful Recovery of Hepatic Dysfunction following Isoflurane Anesthesia in a Pateint with Acute Viral Hepatitis B

Affiliations
  • 1Department of Anesthesiology, School of Medicine, Inha University, Inha General Hospital, Sungnam, Korea.

Abstract

Elective operation should be postponed in patient with acute hepatitis because of the increased risk of morbidity and mortality. Especially, surgery carried out in the presence of acute viral hepatitis is associated with high incidence of major complications The authors have recently experienced a patient who was performed emergency craniotomy for epidural hematoma. At that time, the patient was in midst of acute viral hepatitis B. Major in- halational anesthetic was isoflurane and muscle relaxant was atracurium. Fortunately, the preoperative hepatic dysfunction was not exacerbated and recovered uneventfully. The choice of anesthetics and the proper pre-and intraoperative anesthetic managements are reviewed.

Keyword

Acute viral hepatitis B; Hepatic dysfunction; Isoflurane

MeSH Terms

Anesthesia*
Anesthetics
Atracurium
Craniotomy
Emergencies
Hematoma
Hepatitis B*
Hepatitis*
Humans
Incidence
Isoflurane*
Mortality
Anesthetics
Atracurium
Isoflurane
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