Anesth Pain Med.
2014 Jan;9(1):41-43.
Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Inje University Busan Paik Hospital, Busan, Korea. maeteost@hanmail.net
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.
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