Abstract
Hashimoto's Disease (Hypothyroidism) is one of the autoimmune disease that tend to all ages and females. Generally, this has bradycardia, the fail of cardiac output, hypotension, the deterioration of mental activity, and so on. If we manage with propofol for the patient who have findings like this, we must be careful for wakefulness from general anesthesia, circulatory collapse and cardiac failure.
In this case, we managed the patient who is 53 years old female with Hashimoto's Disease (Hypothyroidism) and depression with propofol in perioperative management. The operation is the removal of implant within maxillary sinus. When we tried tracheal intubation, the patient's pulse rate was decreased momentary. We assumed that the thyloid swelling may caused the vagus nerve to close to the larynx and the pharynx thereby adding the laryngoscopy stimulation. We checked hemodynamics for the parameter of the depth of anesthesia. In spite of our failure to know depth of anesthesia during the operation, the operation was stable without any particular facts to point out.
We concluded that general anesthetic management with propofol is useful for Hashimoto's Disease patient.
