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KMID : 1155520140090010041
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Anesthesia and Pain Medicine
2014 Volume.9 No. 1 p.41 ~ p.43
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Anesthetic management of thyrotoxicosis patient using total intravenous anesthesia -A case report-
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Park Jung-Kyu
Cho Kwang-Rae
Cheong Soon-Ho
Lee Kun-Moo
Lee Jeong-Han
Kim Myoung-Hun
Lee Won-Jin
Lee Ji-Yong
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Abstract
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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 ＜ 0.005 IU/L, free T4 of ＞ 7.77 ng/dl, T3 of 403.1 ng/dl, and T4 of 22.15 μg/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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KEYWORD
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Hyperthyroidism, Intravenous anesthesia, Thyroid storm
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