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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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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. |
first_indexed | 2024-12-10T04:15:00Z |
format | Article |
id | doaj.art-37370b3d01704354b58b4a3576efad40 |
institution | Directory Open Access Journal |
issn | 1658-354X |
language | English |
last_indexed | 2024-12-10T04:15:00Z |
publishDate | 2019-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Saudi Journal of Anaesthesia |
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 |