Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease

With the increasing prevalence of chronic kidney disease, the incidence of renal secondary hyperparathyroidism (SHPT) has also reached a high level. At the beginning of the course of SHPT, medical treatment is the main method, but nearly 10% of patients eventually need to undergo parathyroidectomy....

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Main Authors: ZHANG Yangyang, ZHU Bo
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2024-11-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0241
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author ZHANG Yangyang
ZHU Bo
author_facet ZHANG Yangyang
ZHU Bo
author_sort ZHANG Yangyang
collection DOAJ
description With the increasing prevalence of chronic kidney disease, the incidence of renal secondary hyperparathyroidism (SHPT) has also reached a high level. At the beginning of the course of SHPT, medical treatment is the main method, but nearly 10% of patients eventually need to undergo parathyroidectomy. The perioperative management of such operations requires comprehensive consideration of the influence of primary disease, secondary pathophysiological changes and surgical factors, which poses a challenge to anesthesiologists. This article summarizes the pathophysiological characteristics, treatment status and anesthesia points of SHPT, with the aim of providing reference for the implementation of safer and better anesthesia management for SHPT patients.
format Article
id doaj-art-81a71166ab8a4a928cd130ae78e971a4
institution Kabale University
issn 1674-9081
language zho
publishDate 2024-11-01
publisher Editorial Office of Medical Journal of Peking Union Medical College Hospital
record_format Article
series Xiehe Yixue Zazhi
spelling doaj-art-81a71166ab8a4a928cd130ae78e971a42025-02-08T07:47:34ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812024-11-0116117117610.12290/xhyxzz.2024-0241Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney DiseaseZHANG YangyangZHU Bo0Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, ChinaWith the increasing prevalence of chronic kidney disease, the incidence of renal secondary hyperparathyroidism (SHPT) has also reached a high level. At the beginning of the course of SHPT, medical treatment is the main method, but nearly 10% of patients eventually need to undergo parathyroidectomy. The perioperative management of such operations requires comprehensive consideration of the influence of primary disease, secondary pathophysiological changes and surgical factors, which poses a challenge to anesthesiologists. This article summarizes the pathophysiological characteristics, treatment status and anesthesia points of SHPT, with the aim of providing reference for the implementation of safer and better anesthesia management for SHPT patients.https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0241chronic kidney diseasesecondary hyperparathyroidismanesthesia managementparathyroidectomy
spellingShingle ZHANG Yangyang
ZHU Bo
Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
Xiehe Yixue Zazhi
chronic kidney disease
secondary hyperparathyroidism
anesthesia management
parathyroidectomy
title Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
title_full Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
title_fullStr Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
title_full_unstemmed Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
title_short Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease
title_sort anesthesia in parathyroidectomy for secondary hyperparathyroidism of chronic kidney disease
topic chronic kidney disease
secondary hyperparathyroidism
anesthesia management
parathyroidectomy
url https://xhyxzz.pumch.cn/article/doi/10.12290/xhyxzz.2024-0241
work_keys_str_mv AT zhangyangyang anesthesiainparathyroidectomyforsecondaryhyperparathyroidismofchronickidneydisease
AT zhubo anesthesiainparathyroidectomyforsecondaryhyperparathyroidismofchronickidneydisease