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VOLUME 3 , ISSUE 2 ( July-December, 2018 ) > List of Articles


Anesthesia Management of a Suspected Case of Thyrotoxicosis in a Young Adult Male Undergoing Humerus Surgery

Niyati Arora, Harpreet K Madan

Keywords : Dexamethasone, Intraoperative thyrotoxicosis, Postoperative monitoring, Thyroiditis, Young male

Citation Information : Arora N, Madan HK. Anesthesia Management of a Suspected Case of Thyrotoxicosis in a Young Adult Male Undergoing Humerus Surgery. Res Inno Anesth 2018; 3 (2):60-62.

DOI: 10.5005/jp-journals-10049-0052

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Disease of the thyroid gland in the general population is well defined. Hyperthyroidism is characterized by increased thyroid hormone synthesis and secretion from the thyroid gland, whereas thyrotoxicosis refers to the clinical syndrome of excess circulating thyroid hormones, irrespective of the source. The signs and symptoms of hyperthyroidism if subtle, can be missed during the preoperative period. This case report highlights the importance of vigilant monitoring to diagnose and manage cases of thyrotoxicosis in the intraoperative period.

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  1. Kravets I. Hyperthyroidism: Dagnosis and treatment. Am Fam Physician 2016;93(5):363-370.
  2. Franklyn J. Thyrotoxicosis. Prescrib J 1999;39:1-8
  3. Palace MR. Perioperative management of thyroid dysfunction: Health Serv Insights 2017;10:1178632916689677.
  4. Tay S, Khoo E, Tancharoen C, et al. Beta-blockers and the thyrotoxic patient for thyroid and non-thyroid surgery: a clinical review. OA Anaesthetics 2013;1(1):1-6.
  5. Franklyn JA, Boelaert K. Thyrotoxicosis. The Lancet 2012;379(9821):1155–1166.
  6. Kohl BA, Schwartz S. Surgery in the patient with endocrine dysfunction. Med Clin North Am 2009;93:1031-1047.
  7. Donangelo I, Braunstein GD. Update on subclinical hyperthyroidism. American Family Physician 2011;83(8):933-938.
  8. Sawin CT, Geller A, Wolf P, et al. Low serum thyrotropin concentrations as a risk factor for atrial fibrillation in older persons. N Engl J Med 1994;331:1249-1252.
  9. Auer J, Scheibner P, Mische T, et al. Subclinical hyperthyroidism as a risk factor for atrial fibrillation. Am Heart J 2001;142:838-842.
  10. Carroll R, Matfin G. Endocrine and Metabolic Emergencies: Thyroid storm. Ther Adv Endocrinol Metab 2010;1(3):139-145.
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