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Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia -A case report-
Anesthesia and Pain Medicine 2014³â 9±Ç 1È£ p.41 ~ p.43
¹ÚÁ¤±Ô(Park Jung-Kyu) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
Á¶±¤·¡(Cho Kwang-Rae) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
Á¤¼øÈ£(Cheong Soon-Ho) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
À̱ٹ«(Lee Kun-Moo) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
ÀÌÁ¤ÇÑ(Lee Jeong-Han) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
±è¸íÈÆ(Kim Myoung-Hun) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
ÀÌ¿øÁø(Lee Won-Jin) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
ÀÌÁö¿ë(Lee Ji-Yong) - ÀÎÁ¦´ëÇб³ ºÎ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
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 symp-toms and laboratory results revealed manifestation of thyroid storm: TSH of £¼ 0.005 IU/L, free T4 of £¾ 7.77 ng/dl, T3 of 403.1 ng/dl, and T4 of 22.15 ¥ìg/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 opera-tion. We report a case of total intravenous anesthesia with propofol and remifentanil which achieved hemodynamic stability
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Hyperthyroidism, Intravenous anesthesia, Thyroid storm
KMID :
1155520140090010041
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