Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report

During thyroid surgery, intraoperative hemodynamic instability can be attributed to episodic surges of thyroid hormones. Thyroid storms are emergency situations characterized by persistent hypertension, tachycardia, hyperthermia, and end-organ damage. However, baroreflex-mediated neurogenic phenomen...

Descripción completa

Detalles Bibliográficos
Autores principales: Choi, Eun Kyung, Kwon, Hyojin, Park, Suyong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753765/
https://www.ncbi.nlm.nih.gov/pubmed/31572086
http://dx.doi.org/10.4103/sja.SJA_76_19
_version_ 1783452957902110720
author Choi, Eun Kyung
Kwon, Hyojin
Park, Suyong
author_facet Choi, Eun Kyung
Kwon, Hyojin
Park, Suyong
author_sort Choi, Eun Kyung
collection PubMed
description During thyroid surgery, intraoperative hemodynamic instability can be attributed to episodic surges of thyroid hormones. Thyroid storms are emergency situations characterized by persistent hypertension, tachycardia, hyperthermia, and end-organ damage. However, baroreflex-mediated neurogenic phenomena due to surgical procedures near the carotid sinus are a likely cause of acute hemodynamic changes during thyroid surgery. We describe a case of sudden hemodynamic instability occurring after thyroid manipulation during thyroidectomy in a 61-year-old man who presented with a 6-cm-sized thyroid mass in a euthyroid state.
format Online
Article
Text
id pubmed-6753765
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-67537652019-10-01 Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report Choi, Eun Kyung Kwon, Hyojin Park, Suyong Saudi J Anaesth Case Report During thyroid surgery, intraoperative hemodynamic instability can be attributed to episodic surges of thyroid hormones. Thyroid storms are emergency situations characterized by persistent hypertension, tachycardia, hyperthermia, and end-organ damage. However, baroreflex-mediated neurogenic phenomena due to surgical procedures near the carotid sinus are a likely cause of acute hemodynamic changes during thyroid surgery. We describe a case of sudden hemodynamic instability occurring after thyroid manipulation during thyroidectomy in a 61-year-old man who presented with a 6-cm-sized thyroid mass in a euthyroid state. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6753765/ /pubmed/31572086 http://dx.doi.org/10.4103/sja.SJA_76_19 Text en Copyright: © 2019 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Choi, Eun Kyung
Kwon, Hyojin
Park, Suyong
Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title_full Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title_fullStr Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title_full_unstemmed Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title_short Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
title_sort acute baroreflex-mediated hemodynamic instability during thyroid surgery: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753765/
https://www.ncbi.nlm.nih.gov/pubmed/31572086
http://dx.doi.org/10.4103/sja.SJA_76_19
work_keys_str_mv AT choieunkyung acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport
AT kwonhyojin acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport
AT parksuyong acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport

Ejemplares similares