| Patients with symptomatic primary hyperparathyroidism: an anaesthetic challenge. | |
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MedLine Citation:
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PMID: 20640216 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Puneet Chopra; Sukanya Mitra |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian journal of anaesthesia Volume: 53 ISSN: 0976-2817 ISO Abbreviation: Indian J Anaesth Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2010-07-19 Completed Date: 2011-07-14 Revised Date: 2013-05-20 |
Medline Journal Info:
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Nlm Unique ID: 0013243 Medline TA: Indian J Anaesth Country: India |
Other Details:
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Languages: eng Pagination: 492-5 Citation Subset: - |
Affiliation:
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Senior Resident, Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh. |
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