PMID: 6143513Apr 1, 1984Paper

Beta-adrenoceptor blockade and anaesthesia for thyroidectomy

Anaesthesia
W F HamiltonJ Feely

Abstract

The administration of beta-adrenoceptor blocking drugs in the pre-operative preparation and operative management of thyrotoxic patients undergoing subtotal thyroidectomy is reviewed. Particular reference is made to some of the recent advances and it is emphasised that there has been a considerable reduction in the incidence of problems following judicious use of these drugs. The choice of anaesthetic technique employed for thyroidectomy is less important than the degree of control of thyrotoxicosis by the beta-adrenoceptor blocking drug. Propranolol has proved safe and effective for the majority of patients. The longer acting agent nadolol is easier to administer, particularly in the peri-operative period. Patients are rendered less thyrotoxic and safety thereby enhanced by adding potassium iodide for 10 days preoperatively. The combination of nadolol and potassium iodide offers real advantages in the preparation of the thyrotoxic patient for surgery.

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Citations

Jul 1, 1989·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S H Halpern
Apr 1, 1992·Journal of Anesthesia·M HaradaY Tanaka
Apr 23, 2011·Thyroid : Official Journal of the American Thyroid Association·Rebecca S Bahn ChairAmerican Association of Clinical Endocrinologists
Aug 16, 2016·Thyroid : Official Journal of the American Thyroid Association·Douglas S RossMartin A Walter
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Jun 28, 2011·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Rebecca S BahnAmerican Association of Clinical Endocrinologists
May 1, 1989·Anaesthesia·H R VijayakumarJ J Ferrara

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