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Korean Journal of Anesthesiology 1991;24(2):442-445.
DOI: https://doi.org/10.4097/kjae.1991.24.2.442   
Uneventful Recovery of Hepatic Dysfunction following Isoflurane Anesthesia in a Pateint with Acute Viral Hepatitis B.
Yong Sung Han, Gang Choi, Choon Kun chung
Department of Anesthesiology, School of Medicine, Inha University, Inha General Hospital, Sungnam, Korea.
Elective operation should be postponed in patient with acute hepatitis because of the increased risk of morbidity and mortality. Especially, surgery carried out in the presence of acute viral hepatitis is associated with high incidence of major complications The authors have recently experienced a patient who was performed emergency craniotomy for epidural hematoma. At that time, the patient was in midst of acute viral hepatitis B. Major in- halational anesthetic was isoflurane and muscle relaxant was atracurium. Fortunately, the preoperative hepatic dysfunction was not exacerbated and recovered uneventfully. The choice of anesthetics and the proper pre-and intraoperative anesthetic managements are reviewed.
Key Words: Acute viral hepatitis B; Hepatic dysfunction; Isoflurane


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