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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2020; 07(02): 107-109
DOI: 10.1055/s-0039-1679134
Case Report

Anesthetic Management of a Patient with Gilbert's Syndrome for Spine Surgery: A Case Report

Bhagya R. Jena
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
,
Ankur Khandelwal
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
,
Mihir P. Pandia
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
,
Gyaninder P. Singh
1   Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
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Abstract

Gilbert's syndrome, a hereditary disorder characterized by mild unconjugated hyperbilirubinemia, poses multiple anesthetic challenges during major surgery. Despite an indolent course, it can manifest with severe jaundice in the postoperative period. Anesthetic strategies should be based on thorough preoperative planning, minimizing fasting period, maintaining hepatic blood flow, avoiding hepatotoxic drugs, and reducing surgical duration, blood loss, and blood transfusion. We report the successful management of a case of Gilbert's syndrome for lumbar spine surgery along with a review of literature.

Keywords

anesthesia - Gilbert's syndrome - hyperbilirubinemia - spine surgery


Publication History

Article published online:
29 April 2019

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Thieme Medical and Scientific Publishers Private Ltd.
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