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

Bhagya R. Jena; Ankur Khandelwal; Mihir P. Pandia; Gyaninder P. Singh

doi:10.1055/s-0039-1679134

Journal of Neuroanaesthesiology and Critical Care, Table of Contents

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

Authors

Bhagya R. Jena

¹Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
Ankur Khandelwal

¹Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
Mihir P. Pandia

¹Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
Gyaninder P. Singh

¹Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India

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

Full Text

References

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