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Adrenal Yetmezlik Ve Hipotiroidi Tanısıyla Hormon Replasman Tedavisi Alan Olguda Anestezi Uygulaması

Anaesthetic Management Of A Case Receiving Replacement Treatment For Adrenal Insufficiency And Hypothyroidism

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
After adrenalectomy and thyroidectomy which performed as a therapy of multiple endocrine neoplasia II (MEN II), adrenal insufficiency and hypothyroidism may occur. However in response to surgery, both cortisol and thyroid hormones are essential and should be replaced. For any reason if an anaesthesia method will be applied to these cases, regional block is more suitable which causes decreased metabolic and endocrine response. Therefore we aimed to discuss anaesthetic management of a case who underwent vaginal hysterectomy with adrenal insufficiency and hypothyroidism and receives hormonal replacement therapy, first planned to perform epidural anaesthesia but because of the technical difficulties general anaesthesia was attempted.
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Abstract (Original Language): 
Multipl Endokrin Neoplazi II (MEN II) nedeniyle yapılan sürrenalektomi ve tiroidektomiyi takiben adrenal yetmezlik ve hipotiroidi gelişebilir. Oysa cerrahiye stres yanıtta gerek kortizol gerekse tiroid hormonları ana unsurlar olup; replasmanları gerekmektedir. Herhangi bir nedenle bu tür vakalara anestezi uygulaması gerektiğinde cerrahiye metabolik ve endokrin yanıtı azalttığı bilinen rejyonal bloklar daha uygun olacaktır. Bu nedenle vajinal histerektomi geçirecek olan, öncelikle epidural anestezi planladığımız ancak uygulama zorluğu nedeniyle genel anestezi vermek zorunda kaldığımız, adrenal yetmezlik ve hipotiroidi replasman tedavisi alan bir olguyu sunmayı amaçladık.
FULL TEXT (PDF): 
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  • 4
259-261
  • Turkish

REFERENCES

References: 

1. Sanso GE, Domene HM, Garcia R. Very early detection of RET proto—oncogene mutation is crucial for preventive thyroidectomy in multiple endocrine neoplasia type 2 children: presence of C-cell malignant disease in asymptomatic carriers. Cancer 2002; 94:323-30.
2. Niruthisard S, Chatrkaw P, Laornual S, et. al. Anesthesia for one-stage bilateral pheochromocytoma resection in patient with MEN type II a: attenuation of hypertensive crisis by magnesium sulfate. J Med Assoc Thai 2002; 85: 125-30.
3. Brandi ML, Gagel RF, Angeli A, et. al. Guidelines for diagnosis and therapy of MEN type 1 and type 2. J Clin Endocrinol Metab 2001; 86: 5658-71.
4. Desborough, JP. The stress response to trauma and surgery. Br J Anaesth 2000; 85: 109-17.
5. Roizen MF. Anesthetic implications of concurrent diseases. In: Miller RD (ed). Anesthesia: 5th ed. Philadelphia: Churchill Livingstone. 2000: 918-24.
6 Morgan GE, Mikhail MS, Murray MJ. Anesthesia for patients with endocrine disease. In: Clinical Anesthesiology (3rd ed). New york: McGraw-Hill.2002: 745-6.
7. Kindopp AS, Ashbury T. Anaesthetic management of an adult patient with X-linked adrenoleukodystrophy. Can J Anaesth 1998; 45: 990-2.
8 Lee HT, Levine M. Acute respiratory alkalosis associated with low minute ventilation in a patient with severe hypothyroidism. Can J Anaesth 1999; 46: 185-9.
9 Absalom AR, Pledger DR, Kong A. Effects of a single dose of etomidate on adrenocortical function in critically ill. Br J Anaesth 1997; 79: 679.

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