Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism
A 53-year-old man with chronic renal tubular acidosis and subclinical hypothyroidism underwent lower leg amputation surgery under general anesthesia. Perioperative acid-base management in such patients poses many difficulties because both pathophysiologies have the potential to complicate the interp...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2016/2434381 |
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| _version_ | 1832549475760996352 |
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| author | Hiroe Yoshioka Haruyuki Yamazaki Rie Yasumura Kosuke Wada Yoshiro Kobayashi |
| author_facet | Hiroe Yoshioka Haruyuki Yamazaki Rie Yasumura Kosuke Wada Yoshiro Kobayashi |
| author_sort | Hiroe Yoshioka |
| collection | DOAJ |
| description | A 53-year-old man with chronic renal tubular acidosis and subclinical hypothyroidism underwent lower leg amputation surgery under general anesthesia. Perioperative acid-base management in such patients poses many difficulties because both pathophysiologies have the potential to complicate the interpretation of capnometry and arterial blood gas analysis data; inappropriate correction of chronic metabolic acidosis may lead to postoperative respiratory deterioration. We discuss the management of perioperative acidosis in order to achieve successful weaning from mechanical ventilation and promise a complete recovery from anesthesia. |
| format | Article |
| id | doaj-art-d35f323a4de54edbbd40af836c0cab7f |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-d35f323a4de54edbbd40af836c0cab7f2025-02-03T06:11:14ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/24343812434381Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical HypothyroidismHiroe Yoshioka0Haruyuki Yamazaki1Rie Yasumura2Kosuke Wada3Yoshiro Kobayashi4Department of Anesthesiology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Anesthesiology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Anesthesiology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Anesthesiology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanDepartment of Anesthesiology, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, JapanA 53-year-old man with chronic renal tubular acidosis and subclinical hypothyroidism underwent lower leg amputation surgery under general anesthesia. Perioperative acid-base management in such patients poses many difficulties because both pathophysiologies have the potential to complicate the interpretation of capnometry and arterial blood gas analysis data; inappropriate correction of chronic metabolic acidosis may lead to postoperative respiratory deterioration. We discuss the management of perioperative acidosis in order to achieve successful weaning from mechanical ventilation and promise a complete recovery from anesthesia.http://dx.doi.org/10.1155/2016/2434381 |
| spellingShingle | Hiroe Yoshioka Haruyuki Yamazaki Rie Yasumura Kosuke Wada Yoshiro Kobayashi Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism Case Reports in Anesthesiology |
| title | Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism |
| title_full | Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism |
| title_fullStr | Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism |
| title_full_unstemmed | Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism |
| title_short | Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism |
| title_sort | anesthetic management of a surgical patient with chronic renal tubular acidosis complicated by subclinical hypothyroidism |
| url | http://dx.doi.org/10.1155/2016/2434381 |
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