Open AccessAcute baroreflex-mediated hemodynamic instability during thyroid surgery: A case report
Author(s) -
Eun Kyung Choi,
Hyojin Kwon,
Suyong Park
Publication year - 2019
Publication title -
saudi journal of anaesthesia
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_76_19
Subject(s) - medicine , thyroid storm , thyroid , hemodynamics , euthyroid , tachycardia , cardiology , thyroidectomy , anesthesia
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.