Spinal anesthesia for emergency abdominal surgery in uncontrolled hyperthyroidism.
Patients with uncontrolled hyperthyroidism presenting as an emergency are at considerable risk. The anesthetic management of a thyrotoxic patient undergoing incidental emergency surgery is discussed. We focus on the intraoperative problems and, above all, postoperative pain management with regional anesthesia.
Varela
A
A
Department of Anesthesia and Intensive Care, Gregorio Marañón General Hospital, Madrid, Spain. bertocabo@mixmail.com
Yuste
A
A
Villazala
R
R
Garrido
J
J
Lorenzo
A
A
López
E
E
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D000765:Anesthesia, Conduction; D000768:Anesthesia, General; D000775:Anesthesia, Spinal; D001062:Appendectomy; D004638:Emergency Treatment; D005260:Female; D006111:Graves Disease / Q000150:complications; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications*; D007813:Laparotomy; D010149:Postoperative Pain / Q000188:drug therapy; D011182:Postoperative Care