emergency caesarean section in patient with thyroid storm and severe preeclampsia: a case report
Authors
abstract
background and objectives: hyperthyroidism can occur with pregnancy. thyroid storm is a life-threatening exacerbation of hyperthyroidism. the mortality rate for thyroid storm remains surprisingly high at approximately 20%. case report: a 21-year-old primigravida woman presented at 25 weeks, with severe pre-eclampsia and uncontrolled hyperthyroidism was scheduled for emergency cesarean section. treatment includes rapid alleviation of thyrotoxicosis and general supportive care. thyroid function tests may not help in differentiating thyroid storm from symptomatic hyperthyroidism. the major risk of anesthesia in the poorly controlled thyrotoxic patient is thyroid storm, which must be aggressively treated with beta-blockers, iodide, and antithyroid drugs
similar resources
Spinal Anaesthesia for Emergency Caesarean Section in a Morbid Obese Woman with Severe Preeclampsia
Background. Morbid obesity in a pregnancy is a great challenge to medical practice especially when the patient requires caesarean section. Case Summary. A 38-year-old unbooked gravida 3 Para 2(+0) weight 195 kg, height 1.7 m with a blood pressure of 210/160 mmhg had spinal anaesthesia for emergency caesarean section which was technically difficult for severe preeclampsia at 32-week gestation. S...
full textA Case Report of Emergency Caesarean Section Due to Cerebral Venous Thrombosis in a 22-year-old Mother With Severe Sreeclampsia
Background: Preeclampsia is a condition of placental pathogenesis, which divided into mild and severe forms, based on the severity of hypertension and proteinuria. Severe type of the disease with HELLP syndrome and neurological symptoms such as seizures play a very important role in maternal complications. Cerebral Venous Thrombosis with incidence of 11.6 per 100,000 deliveries per year, as a ...
full textEmergency caesarean section in a poor risk patient in Nepal.
This report describes the management of a poor risk Nepalese patient (active pulmonary tuberculosis, haemoglobin concentration 4.6 g dl-1, weight 28.5 kg) requiring emergency Caesarean section for fetal distress. Subarachnoid blockade (0.5% bupivacaine plain 3.5 ml) was satisfactory; blood loss was around 400 ml and was replaced with Haemaccel and lactated Ringer's solution (blood was not avail...
full textSpinal Anesthesia: A Noble Choice for Emergency Caesarean Section in a Morbidly Obese Parturient with Preeclampsia
Obesity is associated with an increased risk of maternal morbidity and mortality. Morbid obesity associated with preeclampsia in a pregnancy is a great challenge to anaesthetist when patient requires caesarean section. Providing anesthesia for these patients presents unique challenges that can best be met through an understanding of the pathophysiologic changes associated with obesity and preec...
full textA Case Report of a Young Pregnant Woman with Preeclampsia and Acute Pulmonary Edema in Severe Transient Heart Failure
Introduction: Young pregnant woman (32 weeks) following one-month illnesses, including peripheral edema, paresthesia and shortness of breath, for which no specific diagnosis was made in the evaluations; she was hospitalized with severe respiratory distress and pulmonary edema. Re-examination revealed severe systolic heart failure (left ventricular ejection fraction: 10-15%) with preeclampsia. A...
full textIntraoperative thyroid storm: a case report.
An 18-year-old woman being treated for Graves disease underwent elective thyroidectomy. Tachycardia was noted before surgery. The patient's heart rate and temperature started to rise 30 minutes into surgery. Malignant hyperthermia was excluded on clinical grounds, and treatment with beta blockers was started. The patient's conditions stabilized, and surgery was completed. A review of the patien...
full textMy Resources
Save resource for easier access later
Journal title:
مجله دانشگاه علوم پزشکی قمجلد ۶، شماره ۳، صفحات ۹۱-۹۴
Hosted on Doprax cloud platform doprax.com
copyright © 2015-2023