Perioperative management for non-thyroidal surgery in thyroid dysfunction

• Published in: Indian journal of endocrinology and metabolism Vol. 26; no. 5; pp. 428 - 434
• Main Authors: Malhotra, Bhanu, Bhadada, Sanjay
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer India Pvt. Ltd 01-09-2022; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Care and treatment; hyperthyroid; hypothyroid; Hypothyroidism; nonthyroid surgery; perioperative management; Review; Succinylcholine; thyrotoxicosis; nonthyroid surgery; perioperative management; hypothyroid; thyrotoxicosis; Hyperthyroid
• ISSN: 2230-8210; 2230-9500; 2230-9500
• DOI: 10.4103/ijem.ijem_273_22

Thyroid hormone exerts effects across all organ systems. Hence, patients with thyroid dysfunction are at a risk of numerous complications. The stresses encountered during the perioperative period may exacerbate underlying thyroid disorders, potentially precipitating decompensation, and even death. Thus, it is of the utmost importance for the clinician to comprehend the mechanisms by which thyroid disease may complicate surgery and postoperative recovery and to optimize the status of thyrotoxic and hypothyroid patients. This article describes the adverse effects of thyroid dysfunction in patients undergoing nonthyroid surgery and recommends treatment approaches aimed at appropriate build-up to decrease perioperative risk.