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...

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Main Authors: Eun Kyung Choi, Hyojin Kwon, Suyong Park
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2019;volume=13;issue=4;spage=368;epage=370;aulast=Choi
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author Eun Kyung Choi
Hyojin Kwon
Suyong Park
author_facet Eun Kyung Choi
Hyojin Kwon
Suyong Park
author_sort Eun Kyung Choi
collection DOAJ
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.
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spelling doaj.art-37370b3d01704354b58b4a3576efad402022-12-22T02:02:36ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2019-01-0113436837010.4103/sja.SJA_76_19Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case reportEun Kyung ChoiHyojin KwonSuyong ParkDuring 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.http://www.saudija.org/article.asp?issn=1658-354X;year=2019;volume=13;issue=4;spage=368;epage=370;aulast=ChoiAcute; baroreflex; thyroid surgery
spellingShingle Eun Kyung Choi
Hyojin Kwon
Suyong Park
Acute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
Saudi Journal of Anaesthesia
Acute; baroreflex; thyroid surgery
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 Acute; baroreflex; thyroid surgery
url http://www.saudija.org/article.asp?issn=1658-354X;year=2019;volume=13;issue=4;spage=368;epage=370;aulast=Choi
work_keys_str_mv AT eunkyungchoi acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport
AT hyojinkwon acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport
AT suyongpark acutebaroreflexmediatedhemodynamicinstabilityduringthyroidsurgeryacasereport