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Difficult Postoperative Extubation in a Patient with Hypoproteinemia: A Case Report

Peilin Cong, Hao Zhang, Yilu Zhou, Bi Xia, Qingxiu Wang

Hypoalbuminemia is common in critically ill patients, chronic hypoproteinemia tend to cause some negative impacts on the body's internal environment. Hypoalbuminemia poses many challenges to the perioperative anesthesia management. This article describes a case of difficult postoperative extubation in a 62-year-old woman with hypoalbuminemia. She was diagnosed with intestinal tuberculosis, hypoproteinemia and edema for 3 years. During the anesthesia management process, we found some physiological changes in hypoproteinemia and the management of anesthesia during perioperative period is complex. So in this article, we provide some advice for the treatment and anaesthetic management of patients with hypoproteinemia.