Perioperative management of a patient with thyroid hormone resistance who underwent total thyroidectomy for thyroid cancer

被引：0

作者：

Michiko Sugita

Hana Harada

Tatsuo Yamamoto

机构：

[1] Kumamoto University Hospital,Department of Anesthesiology

[2] Kumamoto University Hospital,Department of Dental Surgery

[3] Kumamoto University,Department of Anesthesiology, Graduate School of Medical Science

来源：

Journal of Anesthesia | 2012年 / 26卷

关键词：

Resistance to thyroid hormone; Thyroidectomy; Thyroid cancer; Hypocalcemia;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Resistance to thyroid hormone (RTH) is a rare, predominantly inherited syndrome that involves impaired tissue responsiveness to thyroid hormones. We describe the perioperative management of a patient with RTH who underwent total thyroidectomy. Although surgery performed under general anesthesia was uneventful, after the surgery the patient developed difficult-to-treat hypocalcemia that lasted until postoperative day 4. Moreover, thyroid function even after discharge remained unstable despite replacement therapy. We suggest that the parathyroid and thyroid function of patients with RTH be followed very closely and that nociceptive stimulus of the surgery and postoperative pain be reduced as much as possible.

引用

页码：595 / 597

页数：2