Asian Pacific Journal of Health Sciences

Yazarlar: Eze Onyegbule Okubuiro, Chinwe Edith Okoli

Konular:-

DOI:10.21276/apjhs.2018.5.4.21

Anahtar Kelimeler:Anaesthesia,Emergency,Laparotomy,Thyrotoxicosis,Ectopic,Regnancy

Özet: OF, a 25-year-old female with a history of 3 previous unsuccessful pregnancies was referred from a peripheral hospital with a diagnosis of ectopic gestation. She had a thyroid swelling. Initial pulse rate and blood pressure were 168 beats per minute and 130/90 mmHg respectively. She was premedicated with oral atenolol 100 mg on suspicion of undiagnosed thyrotoxicosis and pulse rate and blood pressure dropped to 110 beats per minute and 100/60 mmHg respectively. A right salpingectomy was carried out under endotracheal anaesthesia with muscle relaxation.A thyroid function test done postoperatively revealed a raised T3 and T4 with reduced thyroid stimulating hormone (TSH). She had a successful recovery and was discharged home. Issues and anaesthetic management challenges specific to patients with undiagnosed thyrotoxicosis coming for emergency surgery are discussed.

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