Suppr超能文献

在体外膜肺氧合支持下进行甲状腺全切除术治疗甲状腺危象

Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm.

作者信息

Wee Jia Jia, Tay Kai Jun, Sudirman Siti Radhziah Binte, Loh Shaun Ray Han

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore, 169608 Singapore.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2108-2112. doi: 10.1007/s12070-023-04430-9. Epub 2023 Dec 27.

Abstract

UNLABELLED

Thyroid storm is an acute life-threatening condition of hyperthyroidism that can present with cardiac failure, requiring extracorporeal membrane oxygenation (ECMO). We present the first case reported of total thyroidectomy successfully performed while on ECMO for thyroid storm in a 32-year-old male. This case highlights the challenges of managing refractory thyroid storm with multi-organ failure. We demonstrate that total thyroidectomy may still be safely performed while on ECMO for thyroid storm, if steps are taken to optimise the patient perioperatively, with careful surgical and anaesthesia planning.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12070-023-04430-9.

摘要

未标注

甲状腺危象是一种危及生命的甲亢急症,可出现心力衰竭,需要体外膜肺氧合(ECMO)支持。我们报告了首例在ECMO支持下成功为一名32岁男性进行甲状腺危象全甲状腺切除术的病例。该病例凸显了治疗伴有多器官功能衰竭的难治性甲状腺危象的挑战。我们证明,如果采取措施在围手术期优化患者状况,并进行仔细的手术和麻醉规划,在ECMO支持下仍可安全地为甲状腺危象患者实施全甲状腺切除术。

补充信息

在线版本包含可在10.1007/s12070-023-04430-9获取的补充材料。

相似文献

1
Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2108-2112. doi: 10.1007/s12070-023-04430-9. Epub 2023 Dec 27.
2
Plasma exchange and early thyroidectomy in thyroid storm requiring extracorporeal membrane oxygenation.
Endocrinol Diabetes Metab Case Rep. 2019 Jul 26;2019(1):1-6. doi: 10.1530/EDM-19-0051.
10
Extracorporeal Membrane Oxygenation to Support Life-Threatening Drug-Refractory Electrical Storm.
Crit Care Med. 2020 Oct;48(10):e856-e863. doi: 10.1097/CCM.0000000000004490.

本文引用的文献

1
Extracorporeal membrane oxygenation for thyroid surgery in patients with severe tracheal stenosis.
SAGE Open Med Case Rep. 2022 Dec 14;10:2050313X221139022. doi: 10.1177/2050313X221139022. eCollection 2022.
2
Perioperative management of the thyrotoxic patients: A systematic review.
Ann Med Surg (Lond). 2022 Aug 28;81:104487. doi: 10.1016/j.amsu.2022.104487. eCollection 2022 Sep.
3
Thyrotoxicosis-induced cardiomyopathy treated with venoarterial extracorporeal membrane oxygenation.
Heart Lung. 2020 Mar-Apr;49(2):165-166. doi: 10.1016/j.hrtlng.2019.06.006. Epub 2019 Jul 5.
4
Thyrotoxicosis induced cardiogenic shock rescued by extracorporeal membrane oxygenation.
J Geriatr Cardiol. 2018 Feb;15(2):203-204. doi: 10.11909/j.issn.1671-5411.2018.02.003.
5
Thyrotoxicosis induced cardiomyopathy requiring support with extracorporeal membrane oxygenation.
J Crit Care. 2018 Jun;45:140-143. doi: 10.1016/j.jcrc.2018.01.026. Epub 2018 Feb 3.
6
Is Stopping Heparin Safe in Patients on Extracorporeal Membrane Oxygenation Treatment?
ASAIO J. 2017 Jan/Feb;63(1):32-36. doi: 10.1097/MAT.0000000000000442.
9
Examining Noncardiac Surgical Procedures in Patients on Extracorporeal Membrane Oxygenation.
ASAIO J. 2015 Sep-Oct;61(5):520-5. doi: 10.1097/MAT.0000000000000258.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验