Anaesthesia management for thyroidectomy in a non-euthyroid patient following cardiac failure.

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dc.contributor.authorBolaji, Benjamin olusomi
dc.contributor.authorOyedepo, Olanrewaju Olubukola
dc.contributor.authorRahman, Ganiyu Adebisi
dc.date.accessioned2018-05-31T14:31:23Z
dc.date.available2018-05-31T14:31:23Z
dc.date.issued2011
dc.description.abstractWe present a 24-year old thyrotoxic student of a tertiary institution who had thyroidectomy in the presence of a persistently elevated thyroxine (T4) and tri-iodothyronine (T3) levels. The patient who did not initially notice that he had an anterior neck swelling was being managed as a case of hypertension at a private hospital. However, his mother’s insistence that he should seek expert management revealed that he had experienced excessive sweating, undue heat intolerance of 3 years duration and easy fatigability of a month’s duration at the time of presentation at our hospital. He had bilateral anterior neck masses on examination. He was subsequently diagnosed as a case of toxic goiter with biochemical evidence of elevated T3 and T4 levels. The patient was commenced on anti-thyroid drugs but he developed cardiac failure after 6 months on medical treatment and was commenced on anti-failure regime. Surgery was postponed several times due to persistently elevated thyroid hormones. A decision to perform thyroidectomy was taken after the patient’s cardiovascular status was optimized in order to prevent further deterioration of his cardiac function. Serial repeat thyroid hormone profiles showed elevated T3 and T4 levels. The patient eventually had subtotal thyroidectomy uneventfully after 9 months of presentation under general anaesthesia. Contingency plans for managing thyroid storm in the perioperative period were ensured. The anaesthetic management is presented and discussed.en_US
dc.description.sponsorshipSELFen_US
dc.identifier.citationAnaesthesia management for thyroidectomy in a non-euthyroid patient following cardiac failure. Nigerian Journal of Clinical Practice, 14(4): 482- 485en_US
dc.identifier.issn1119-3077
dc.identifier.urihttp://hdl.handle.net/123456789/315
dc.language.isoenen_US
dc.publisherMedical and Dental Consultants Association of Nigeriaen_US
dc.subjecttoxic goitreen_US
dc.subjectcardiac complicationsen_US
dc.subjectanaesthetic managementen_US
dc.subjectthyroid stormen_US
dc.titleAnaesthesia management for thyroidectomy in a non-euthyroid patient following cardiac failure.en_US
dc.typeArticleen_US

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