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Intraoperative thyroid storm: a case report.

Catherine M Grimes1, Hector Muniz, William H Montgomery

  • 1Straub Clinic & Hospital, Honolulu, Hawaii, USA.

AANA Journal
|April 22, 2004
PubMed
Summary
This summary is machine-generated.

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Graves disease patients undergoing thyroidectomy may experience thyroid storm, a serious condition. Early recognition and beta-blocker treatment are crucial for stabilizing patients during surgery.

Area of Science:

  • Endocrinology
  • Anesthesiology
  • Surgical Complications

Background:

  • Graves disease is an autoimmune disorder leading to hyperthyroidism.
  • Thyroidectomy is a common surgical intervention for managing severe or refractory Graves disease.
  • Perioperative complications require careful monitoring and management.

Observation:

  • An 18-year-old woman with Graves disease developed tachycardia before surgery.
  • During thyroidectomy, the patient exhibited a rapid rise in heart rate and temperature.
  • Malignant hyperthermia was ruled out, and beta-blocker therapy was initiated.

Findings:

  • Preoperative laboratory results indicated elevated free thyroxine levels.
  • The patient's condition stabilized after beta-blocker administration.

Related Experiment Videos

  • Thyroid storm was diagnosed as the cause of the perioperative event.

    • Implications:

    • This case highlights the importance of recognizing thyroid storm in hyperthyroid patients undergoing surgery.
    • Prompt diagnosis and management, including beta-blocker use, are vital for patient safety.
    • Optimizing thyroid hormone levels preoperatively may reduce surgical risks.