Anesthetic Management of a Patient with Gilbert's Syndrome for Spine Surgery: A Case Report

被引：0
作者：
Jena, Bhagya R. [1 ]
Khandelwal, Ankur [1 ]
Pandia, Mihir P. [1 ]
Singh, Gyaninder P. [1 ]
机构：
[1] All India Inst Med Sci, Dept Neuroanaesthesiol & Crit Care, Neurosci Ctr, New Delhi, India
来源：
JOURNAL OF NEUROANAESTHESIOLOGY AND CRITICAL CARE | 2020年 / 7卷 / 02期
关键词：
anesthesia; Gilbert's syndrome; hyperbilirubinemia; spine surgery;
D O I：
10.1055/s-0039-1679134
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Gilbert's syndrome, a hereditary disorder characterized by mild unconjugated hyperbilirubinemia, poses multiple anesthetic challenges during major surgery. Despite an indolent course, it can manifest with severe jaundice in the postoperative period. Anesthetic strategies should be based on thorough preoperative planning, minimizing fasting period, maintaining hepatic blood flow, avoiding hepatotoxic drugs, and reducing surgical duration, blood loss, and blood transfusion. We report the successful management of a case of Gilbert's syndrome for lumbar spine surgery along with a review of literature.
引用
收藏
页码：107 / 109
页数：3
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