[Anesthesia for a patient with Cushing's disease and hepatitis B].
A 34-year-old female patient complaining of general fatigue and liver dysfunction was diagnosed as acute aggravation of chronic hepatitis B. She showed a complication of Cushing's disease and hepatitis was initially treated with lamivudine administration as well as inhibition and supplementation of cortisol, because hypercortisolemia could induce massive liver necrosis with hepatitis. After inducing remission phase, Hardy's operation for pituitary microadenoma was scheduled. Induction and maintenance of anesthesia were achieved by administration of propofol and analgesia was attained by intermittent administration of fentanyl. Liver function was well maintained during perioperative period and no complication concerning anesthesia was observed.
Department of Anesthesiology, Intensive Care Unit of University Hospital, Hamamatsu University School of Medicine, Hamamatsu.
Sachiko
S
Nao
Yushi
Y
Adachi
Shigehito
S
Sato
D000328:Adult; D000769:Anesthesia, Inhalation / Q000379:methods*; D003480:Cushing Syndrome / Q000150:complications*; D005260:Female; D019694:Hepatitis B, Chronic / Q000150:complications*; D006801:Humans; D010911:Pituitary Neoplasms / Q000601:surgery