thyroid storm management
Emergency medical treatment of life-threatening thyrotoxic crisis with specific protocols for perioperative and postoperative care.
Full Definition
Thyroid storm management encompasses the acute medical treatment of severe thyrotoxicosis that can occur perioperatively in patients with uncontrolled hyperthyroidism. Management includes immediate administration of antithyroid medications (methimazole or propylthiouracil), iodine solutions, beta-blockers for symptom control, and corticosteroids to block peripheral thyroid hormone conversion. Temperature control, fluid resuscitation, and cardiac monitoring are essential supportive measures. In surgical patients, thyroid storm can be precipitated by anesthesia, surgical stress, or iodinated contrast agents. Prompt recognition and treatment are critical as mortality rates can exceed 20% without appropriate intervention. Prevention involves ensuring euthyroid status before elective surgery.
Usage
Usage note: Emphasize urgency and multimodal treatment approach.
In Context
- "Postoperative thyroid storm management required immediate beta-blockade, high-dose steroids, and intensive care monitoring." — critical care note
- "The anesthesia team was prepared for potential thyroid storm management given the patient's poorly controlled Graves' disease." — preoperative assessment