Is there any special anaesthetic management for patients with Parathyroid Disorders?

Hypercalcaemia

This is best treated preoperatively with administration of saline (4-5L/day) and a natriuretic agent.

Sodium phosphate may be administered to enhance calcium elimination when there is normal renal function.

Hypocalcaemia

This may be associated with hyperventilation as the low carbon dioxide will increase the pH and decrease free calcium. Intravenous calcium therapy is usually not necessary for more than 1-2 days.