Perioperative management using propofol in a patient with uncontrolled preoperative hyperthyroidism

: There is a risk of thyrotoxic crisis during and after surgery in patients with uncontrolled hyperthyroidism. To avoid this, suppression of sympathetic activity during the perioperative period is important. For this purpose, we used propofol for the anesthetic and the postoperative management in a 19-year-old female with uncontrolled hyperthyroidism. Propofol 6 to 8 mg.kg-1.hr-1 plus 66% of nitrous oxide was not sufficient to obtain hemodynamic stability during the surgery, but propofol 3 mg.kg-1.hr-1 produced optimal sedation in the postoperative period. The results demonstrate that propofol is useful for the anesthetic management of patients with uncontrolled hyperthyroidism.