Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2758563 | International Journal of Obstetric Anesthesia | 2007 | 4 Pages |
Abstract
SummaryClinical hyperthyroidism is found in approximately 5% of women with a hydatidiform mole, as human chorionic gonadotropin secreted by molar tissue is structurally similar to thyroid-stimulating hormone. A hydatidiform mole occasionally presents with a co-existing viable fetus. Surgical evacuation may be indicated for significant hemorrhage or preeclampsia. Perioperative management in the presence of hyperthyroidism may be complicated by a thyroid storm. We report a case of total intravenous anesthesia with propofol and remifentanil, combined with an esmolol infusion, to control sympathetic hyperactivity during surgery.
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Authors
E. Erturk, H. Bostan, S. Geze, S. Saracoglu, N. Erciyes, A. Eroglu,