title: General anesthesia in a patient with Gilbert's syndrome.
abstract: Gilbert's syndrome, caused by relative deficiency of glucuronyl transferase is the commonest cause of congenital hyperbilirubinemia. We report anesthetic management in a case of Gilbert's syndrome for laparoscopic cholecystectomy under general anesthesia. Avoiding drugs which use this enzyme for its metabolisim or excretion, and minimizing the stress during the perioperative period allows safe conduct of anesthesia for these patients.
authors.affiliation: Department of Anaesthesiology and Critical Care, Tata Main Hospital (TMH), Jamshedpur, India.
authors.forename: Deb Sanjay
authors.initials: DS
authors.lastname: Nag
authors.forename: Niraj
authors.initials: N
authors.lastname: Sinha
authors.forename: Devi Prasad
authors.initials: DP
authors.lastname: Samaddar
authors.forename: Pratap Rudra
authors.initials: PR
authors.lastname: Mahanty