Perioperative considerations of hyperthyroidism in a patient with liver failure: case report

Byung Hwa Kim; Yun Hee Kim; Yoon Sook Lee; Woon Young Kim; Jae Hwan Kim

추천

검색

자료유형: 학술저널

저자정보: Byung Hwa Kim (Department of Anesthesiology and Pain Medicine Ansan Hospital Korea University College of Medicine) Yun Hee Kim (Department of Anesthesiology and Pain Medicine Ansan Hospital Korea University College of Medicine) Yoon Sook Lee (Department of Anesthesiology and Pain Medicine Ansan Hospital Korea University College of Medicine) Woon Young Kim (Department of Anesthesiology and Pain Medicine Ansan Hospital Korea University College of Medicine) Jae Hwan Kim (Department of Anesthesiology and Pain Medicine Ansan Hospital Korea University College of Medicine)

저널정보: 조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.2 No.2

발행연도: 2019.1

수록면: 60 - 63 (4page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Hyperthyroidism is one of the most common endocrinologic disorders. When patients with hyperthyroidism undergo general anesthesia, potential perioperative complications such as atrial fibrillation, congestive heart failure, ischemic heart disease, thrombocytopenia may occur. Hyperthyroidism treatment is mainly divided into three parts: Medical treatment, radioactive iodine therapy, and surgical removal of the thyroid. However, the previous two treatments may not have a significant effect on patients with liver failure. In this report, we present a case where a patient with an underlying disease of uncontrolled hyperthyroidism and liver failure undergoing liver transplantation, where preoperative thyroid levels couldn’t be managed aggressively due to liver failure. We managed hyperthyroidism using conservative management before and during surgery; perioperative use of steroids, beta-blockers, calcium channel-blockers, IV (Intravenous) fluids, body temperature regulation, opioid use such as remifentanil and fentanyl, sufficient sedation are all key in ensuring the hemodynamic stability of such a patient.

#Hyperthyroidism #Liver failure #Management

참고문헌 (16)

참고문헌 신청

Farling PA / 2000 / Thyroid disease / Br J Anaesth 85:15~28

Wang MT / 2014 / Antithyroid drug-related hepatotoxicity in hyperthyroidism patients:a population-based cohort study / Br J Clin Pharmacol 78:619~629

Wang R / 2017 / Risk factors of hepatic dysfunction in patients with Graves’ hyperthyroidism and the efficacy of 131iodine treatment / Medicine (Baltimore) 96:e6035

Calissendorff J / 2017 / Rescue pre-operative treatment with Lugol’s solution in uncontrolled Graves’ disease / Endocr Connect 6:200~205

Vaidya B / 2014 / Diagnosis and management of thyrotoxicosis / BMJ 349:g5128

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!