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Patients with symptomatic primary hyperparathyroidism: an anaesthetic challenge.
MedLine Citation:
PMID:  20640216     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Primary hyperparathyroidism is a disease characterized by hypercalcaemia attributable to autonomous overproduction of parathormone. Many patients with primary hyperparathyroidism are asymptomatic. Osteoporosis and nephrolithiasis are some of the major sequelae seen in the symptomatic patients. Parathyroidectomy is the only curative therapy. However anaesthetic management of such patients may be problematic with associated cardiac arrhythmias and skeletal muscle weakness. Low serum albumin and alteration in the acid base status in the perioperative period can affect the serum calcium level and thus adds to the existing problem. We present the successful anaesthetic management of a patient with primary hyperparathyroidism who initially presented with pathological fractures, and discuss the anaesthetic issues involved.
Authors:
Puneet Chopra; Sukanya Mitra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  53     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  492-5     Citation Subset:  -    
Affiliation:
Senior Resident, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh.
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