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Modern concepts of preoperative preparation of patients with thyroid gland disease.

Abstract
Preoperative evaluation of patients with thyroid land disease, in any kind of surgery, should include the possibility of difficult intubation caused by thyromegaly, the hormonal status (its disbalance), as well as the screening, and therapy of consequences of thyroid imbalance on specific organ systems, especially cardiovascular. It is necessary to select the adequate anesthetics and other pharmacological agents, according to current hormonal status. It is also necessary to select the adequate medications and other therapeutic measures for prevention and treatment of possible complications in perioperative period, some of which are life-threatening (thyroid storm and mixedema coma).
AuthorsVera Sabljak, Nevena Kalezić, Branislava Ivanović, Vladan Zivaljević, Aleksandar Diklić, Ivan Paunović
JournalActa chirurgica Iugoslavica (Acta Chir Iugosl) Vol. 58 Issue 2 Pg. 103-8 ( 2011) ISSN: 0354-950X [Print] Serbia
PMID21879658 (Publication Type: Journal Article, Review)
Topics
  • Coma (diagnosis, etiology, therapy)
  • Goiter (diagnosis, therapy)
  • Humans
  • Hyperthyroidism (diagnosis, therapy)
  • Hypothyroidism (diagnosis, therapy)
  • Myxedema (complications, diagnosis, therapy)
  • Preoperative Care
  • Thyroid Crisis (diagnosis, prevention & control, therapy)
  • Thyroid Diseases (diagnosis, therapy)

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