Total intravenous anesthesia for evacuation of a hydatidiform mole and termination of pregnancy in a patient with thyrotoxicosis


Erturk E. , Bostan H., Geze S. , Saracoğlu Ş., Erciyes N., Eroglu A.

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, cilt.16, ss.363-366, 2007 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 16 Konu: 4
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1016/j.ijoa.2006.12.004
  • Dergi Adı: INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
  • Sayfa Sayıları: ss.363-366

Özet

Clinical 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.