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Tutorial 162

Anaesthesia For Thyroid Surgery

Lucy Adams, Specialty Registrar

Sarah Davies, Locum Consultant

Department of Anaesthesia, Leeds General Infirmary, Leeds, UK

Correspondence to Lucy.Adams@leedsth.nhs.uk

30TH NOVEMBER 2009

Abstract

Patients should be clinically and chemically euthyroid prior to thyroid surgery

Perioperative airway complications are common and the expected or unexpected difficult airway should be anticipated.

Postoperative complications of haematoma formation, recurrent laryngeal nerve palsy, hypocalcaemia and tracheomalacia can all cause airway compromise and must be acted upon quickly.

Thyroid storm although less common than it used to be, is a medical