Síndrome de Sagliker

Dorado, Mercedes Rubio-Manzanares; Díaz, Verónica Pino; Alberdi, María Fontillón; Ruiz, J Padillo; Martínez, Juan Manuel Martos

doi:10.1016/j.ciresp.2019.11.002

Cited by 2 publications

(1 citation statement)

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“…These patients had elevated serum phosphorus levels and decreased calcium levels. SH produces a group of syndromes with abnormal facial appearance, which was first summarized and named as Sagliker syndrome (SS) by Dr. Sagliker of Turkey in 2004 (3,4). SS patients with short stature or shorter than before,…”

Section: Introductionmentioning

confidence: 99%

A new anesthesia scheme for parathyroidectomy under neuromonitoring: a retrospective cohort study

Wang

Zhang

et al. 2021

Gland Surg

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Background: Parathyroidectomy under nerve monitoring has been carried out for nearly ten years in the China-Japan Union Hospital of Jilin University. We retrospectively evaluated patients' prognosis with secondary hyperparathyroidism (SH) under neuro-and non-neuro-monitored parathyroidectomy anesthesia.The purpose of this study is to summarize and introduce a new anesthesia scheme for parathyroidectomy under nerve monitoring.Methods: From January 2000 to December 2019, 200 patients with SH in the China-Japan Union Hospital of Jilin University were retrospectively analyzed. Among them, 100 patients underwent parathyroidectomy under neurological monitoring (Group A), and 100 patients underwent parathyroidectomy without neurological monitoring (Group B). The dosage of muscle relaxant, parathyroid hormone (PTH), serum calcium, phosphorus, urea, creatinine, and alkaline phosphatase (ALP) was recorded before surgery (T0), after surgery (T1), at discharge (T2), during skin incision (Ta), at four parathyroidectomies (Tb), and 10 min after total removal. The levels of PTH were measured at four-time points (Tc) and 30 minutes (Td) after complete resection.Results: After screening and propensity score match (PSM), the data of 92 patients were analyzed. Group A's muscle relaxant dose was significantly less than Group B; the length of hospital stay in Group A was significantly lower than in Group B (P<0.05). The serum calcium levels, phosphorus, urea, and creatinine at T2 in Group A were lower than those in Group B (P<0.05).Conclusions: Parathyroid nerve monitoring technology combined with preoperative complete anesthesia scheme, anesthesia induction with one time ED95 (95% effective drug dose) cis-atracurium, end breath gas, and sevoflurane maintenance anesthesia under BIS monitoring can improve the prognosis of patients, shorten the length of hospital stay, and is effective and safe.

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Section: Introductionmentioning

confidence: 99%