Home » 3) Endocrine Disorders » Perioperative Management of Patients with Thyroid Disorders

Perioperative Management of Patients with Thyroid Disorders

Guiding Question:

Is hypo- and hyperthyroidism managed the same in patients undergoing nonthyroid surgery as it would be if the patient was an outpatient?

 

Thyroid hormones have important cardiopulmonary physiological effects in the perioperative period. Optimal management of hypo- and hyperthyroid patients in the perioperative period is based on clinical experience as there is limited research evidence on which to base management decisions. Complicating the evaluation of these patients is the difficulty in assessing thyroid function in many of these patients. Thankfully, most patients with compensated disease do not need special consideration prior to surgery.

 

Review cases 5 – 7  for this section of the module.

 

Learning Objectives:

  • Properly dose T3 and T4 in hypothyroid patients undergoing nonthyroid surgery (R1, R2, R3)
  • Properly control hyperthyroid symptoms in hyperthyroid patients undergoing nonthyroid surgery (R2, R3)
  • Recognize myxedema coma and thyroid storm in the perioperative period (R2, R3)

 

Learning Resources:
Readings:

  1. UpToDate Chapter: Nonthyroid Surgery in the Patient with Thyroid Disease

Videos: (total viewing time 12:54)

  1. Perioperative Management of Hypothyroid Patients Undergoing Nonthyroidal Surgery (7:35)
  2. Perioperative Management of Hyperthyroid Patients Undergoing Nonthyroidal Surgery (5:19)

Annotated PowerPoint Slides: (Note: To download the slides click “Save” at the top of the presentation. After downloading, click on “View” tab and view as “Notes Page”)

  1. Perioperative Management of Hypothyroid Patients Undergoing Nonthyroidal Surgery (6 slides)
  2. Perioperative Management of Hyperthyroid Patients Undergoing Nonthyroidal Surgery (4 slides)

 

Go to next page: Perioperative Management of Patients on Corticosteroids

 

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