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

Erturk, ENGİN; Bostan, Habib; Geze, ŞÜKRAN; Saracoğlu, Şebnem; Erciyes, N.; Eroglu, AHMET

doi:10.1016/j.ijoa.2006.12.004

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, sa.4, ss.363-366, 2007 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 16 Sayı: 4
Basım Tarihi: 2007
Doi Numarası: 10.1016/j.ijoa.2006.12.004
Dergi Adı: INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Sayfa Sayıları: ss.363-366
Karadeniz Teknik Üniversitesi Adresli: Evet

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.