FREY, I and PALITZSCH, KD and FREY, A and HANSEN, E (1994) ANESTHESIA IN PATIENTS WITH THYROID-GLAND DISORDERS. ANASTHESIOLOGIE UND INTENSIVMEDIZIN, 35 (11). pp. 327-336. ISSN 0170-5334,
Full text not available from this repository.Abstract
For the diagaostic work-up of euthyroidism, hyperthyroidism or hypothyroidism, in addition to the case history and physical examination, laboratory tests such as the determination of T3, FT4 or T4, TBG and TSH basal in the serum, and also, possibly the TRH test, may be useful. Patients with manifest hyperthyroidism ol hypothyroidism, should only be operated on when it is of vital importance to do so. in patients with hyperthyroidism receiving betareceptor blockers or thyreostatic therapy treatment must be continued perioperatively. An increase in sympathetic tone by the anaesthetic, or too shallow anaesthesia must be avoided. Local anaesthetic agents with added catecholamines are considered to be contraindicated in patients with manifest hyperthyroidism, although an increase in sensitivity to exogenous catecholamines in these patients has so far not been unequivocally demonstrated. In manifestly hypothyroid patients, a damping of the baroreceptor reflexes, the hypodynamic cardiovascular situation of these patients, and their presumably increased sensitivity to anaesthetic agents, hypnotics and opiates should be taken into account for anaesthesia management. Occasionally, adrenal insufficiency with hyponatremia and hypoglycemia may additionally present. In manifest thyroid gland dysfunction, the intra-operative measurement of the patient's temperature is indicated with the aim of defecting an incipient thyroid storm or myxoedema coma, and postoperative and intensive care monitoring, and possibly artificial ventilation may be indicated.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; SURGERY, OPERATIVE, ANESTHESIA; THYROID DISEASES; THYROID FUNCTION TESTS; POSTOPERATIVE CARE |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:39 |
| URI: | https://pred.uni-regensburg.de/id/eprint/52983 |
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