Enhanced recovery after surgery with intrathecal opioid in a patient of Gilbert's syndrome undergoing mitral valve replacement

Abstract

Gilbert's syndrome, an inherited autosomal dominant disorder, is the most common cause of congenital unconjugated hyperbilirubinaemia. We report the anaesthetic management of a 46-year-old female with Gilbert's syndrome operated for mitral valve replacement (MVR), with a special focus on the role of intrathecal opioids.