Anesthetic techniques and parathyroid hormone levels: Predictor of surgical decisions

Endocrine surgeries have always been challenging and throw numerous challenges to the surgeons, anesthesiologists, and the endocrinologists. A thorough knowledge of the pathophysiological aspects associated with endocrinopathies is mandatory for the attending anesthesiologist. Parathyroid surgery is a very delicate procedure that requires immense and meticulous preparation during the perioperative period for achieving a clinical outcome. Parathyroid hormone (PTH) levels during intra-operative period can influence the decision making in surgery. Anesthetic techniques also play a significant role in the secretion of PTH during perioperative period, which can be decisive in re-assessment of surgical procedure on operation table. The present communication briefly outlines the various anesthetic techniques, which influence the secretion of PTH and also influence surgical decision making.