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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Autores principales: Yoshioka, Hiroe, Yamazaki, Haruyuki, Yasumura, Rie, Wada, Kosuke, Kobayashi, Yoshiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018308/
https://www.ncbi.nlm.nih.gov/pubmed/27648310
http://dx.doi.org/10.1155/2016/2434381
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author Yoshioka, Hiroe
Yamazaki, Haruyuki
Yasumura, Rie
Wada, Kosuke
Kobayashi, Yoshiro
author_facet Yoshioka, Hiroe
Yamazaki, Haruyuki
Yasumura, Rie
Wada, Kosuke
Kobayashi, Yoshiro
author_sort Yoshioka, Hiroe
collection PubMed
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.
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spelling pubmed-50183082016-09-19 Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism Yoshioka, Hiroe Yamazaki, Haruyuki Yasumura, Rie Wada, Kosuke Kobayashi, Yoshiro Case Rep Anesthesiol Case Report 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. Hindawi Publishing Corporation 2016 2016-08-28 /pmc/articles/PMC5018308/ /pubmed/27648310 http://dx.doi.org/10.1155/2016/2434381 Text en Copyright © 2016 Hiroe Yoshioka et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yoshioka, Hiroe
Yamazaki, Haruyuki
Yasumura, Rie
Wada, Kosuke
Kobayashi, Yoshiro
Anesthetic Management of a Surgical Patient with Chronic Renal Tubular Acidosis Complicated by Subclinical Hypothyroidism
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5018308/
https://www.ncbi.nlm.nih.gov/pubmed/27648310
http://dx.doi.org/10.1155/2016/2434381
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