Reflections of the Anesthetic Management in a Case of Parathyroid Adenoma: A Case Report

Jyoti Deshpande; Merlin Elizabeth Jacob; Priyanka Ankush Gangthade

doi:10.18502/aacc.v9i5.13969

Jyoti Deshpande Department of Anaesthesiology, SKNMC & GH, Pune, India.
Merlin Elizabeth Jacob Department of Anaesthesiology, SKNMC & GH, Pune, India.
Priyanka Ankush Gangthade Department of Anaesthesiology, SKNMC & GH, Pune, India.

DOI: https://doi.org/10.18502/aacc.v9i5.13969

Keywords: Dexmedetomedine; Hypocalcemia; Parathyroid adenoma; Superficial cervical plexus block

Abstract

Parathyroid adenomas are usually an incidental finding and present more commonly in women. The parathyroid gland releases parathyroid hormone(PTH), which is essential to maintain calcium homeostasis. Hence, the removal of parathyroid glands will result in hypocalcemia and if not treated could be life threatening. We present the case of a young female patient who presented with vague complaints and was evaluated and diagnosed with primary hyperparathyroidism. She was optimized and taken for surgical removal of parathyroid glands. The anesthetic considerations in the perioperative period and an intraoperative event during positioning are mentioned herewith.