Anesthetic considerations in patients with hyperparathyroidism

Although there is controversy over which patients should undergo parathyroidectomy, some patients clearly benefit from the procedure. This case illustrates typical findings in a patient with a parathyroid adenoma. Preoperative hydration and electrolyte balance and selection of anesthetic drugs that were easily titrated was associated with a smooth intraoperative course on this patient. Mild hypocalcemia postoperatively was quickly recognized and treated.