Reflections of the Anesthetic Management in a Case of Parathyroid Adenoma: A Case Report
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Abstract
Parathyroid adenomas are usually an incidental finding and present more commonly in women. The parathyroid gland releases parathyroid hormone(PTH), which is essential to maintain calcium homeostasis. Hence, the removal of parathyroid glands will result in hypocalcemia and if not treated could be life threatening. We present the case of a young female patient who presented with vague complaints and was evaluated and diagnosed with primary hyperparathyroidism. She was optimized and taken for surgical removal of parathyroid glands. The anesthetic considerations in the perioperative period and an intraoperative event during positioning are mentioned herewith.
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[8] Witteveen JE, van Thiel S, Romijn JA, Hamdy NA. Hungry bone syndrome: still a challenge in the post-operative management of primary hyperparathyroidism: a systematic review of the literature. Eur J Endocrinol. 2013;168(3):R45-53.
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[10] Brasier AR, Nussbaum SR. Hungry bone syndrome: clinical and biochemical predictors of its occurrence after parathyroid surgery. Am J Med. 1988; 84(4):654-60.
[11] de la Cruz Rodríguez IE, García Montesinos ES, Rodríguez-Delgado MF, Vargas Ortega G, Hernández LB, Zubieta VM, et al. Delayed Calcium Normalization after Successful Parathyroidectomy in Primary Hyperparathyroidism. Case Rep Endocrinol. 2021; 2021:5556977.
[2] Chopra P, Mitra S. Patients with symptomatic primary hyperparathyroidism: an anaesthetic challenge. Indian J Anaesth. 2009; 53(4):492-5.
[3] Bajwa SJ, Gupta S, Kaur J, Singh A, Parmar SS. Reduction in the incidence of shivering with perioperative dexmedetomidine: A randomized prospective study. J Anaesthesiol Clin Pharmacol. 2012; 28:86–91.
[4] Bronsky D, Dubin A, Waldstein SS, Daniel S. Kushner. Calcium and the electrocardiogram. I. The electrocardiographic manifestations of hypoparathyroidism. Am J Cardiol. 1961; 7: 823-32.
[5] Yildirim H, Adanir T, Atay A, Katircioglu K, Savaci S. The effects of sevoflurane, isoflurane, and desflurane on QT interval of the ECG. Eur J Anaesthesiol. 2004; 21:566–70.
[6] Silay E, Kati I, Tekin M, Guler N, Huseyinoglu UA, Coskuner I, et al. Comparison of the effects of desflurane and sevoflurane on the QTc interval and QT dispersion. Acta Cardiol. 2005; 60:459–64.
[7] Wolfe SA, Sharma S. Parathyroid Adenoma. National lib of Med In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
[8] Witteveen JE, van Thiel S, Romijn JA, Hamdy NA. Hungry bone syndrome: still a challenge in the post-operative management of primary hyperparathyroidism: a systematic review of the literature. Eur J Endocrinol. 2013;168(3):R45-53.
[9] Jain N, Reilly RF. Hungry bone syndrome. Curr Opin Nephrol Hypertens. 2017; 26(4):250-255.
[10] Brasier AR, Nussbaum SR. Hungry bone syndrome: clinical and biochemical predictors of its occurrence after parathyroid surgery. Am J Med. 1988; 84(4):654-60.
[11] de la Cruz Rodríguez IE, García Montesinos ES, Rodríguez-Delgado MF, Vargas Ortega G, Hernández LB, Zubieta VM, et al. Delayed Calcium Normalization after Successful Parathyroidectomy in Primary Hyperparathyroidism. Case Rep Endocrinol. 2021; 2021:5556977.
| Files | ||
| Issue | Vol 9 No Supp. 1 (2023): Supplement 1 |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i5.13969 | |
| Keywords | ||
| dexmedetomedine hypocalcemia parathyroid adenoma superficial cervical plexus block | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Deshpande J, Jacob M, Gangthade P. Reflections of the Anesthetic Management in a Case of Parathyroid Adenoma: A Case Report. Arch Anesth & Crit Care. 2023;9(Supp. 1):463-466.
