Thyroid Storm in Postoperative Delirium Etiology: Case Report

This condition occurs due to excess production of thyroid hormone and 20-50% mortality rate depends on early diagnosis and treatment.In this study it was aimed to present the diagnosis and treatment of a previously unknown hyperthyroid patient who underwent suspension laryngoscopy under general anesthesia and was post-operatively admitted to the intensive care unit because of pulmonary edema and proceeded to develop severe delirium caused by hyrotoxicosis

📌 3 Key Takeaways

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Objective & Hypothesis:Delirium is an acute organic brain syndrome of different physical and pathophysiological etiologies characterized by a disturbance in consciousness with accompanying change in cognition.

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Key Findings & Data:Delirium causes prolonged length of stay in hospital and intensive care unit, also increased morbidity and mortality.

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Conclusion & Impact:This condition occurs due to excess production of thyroid hormone and 20-50% mortality rate depends on early diagnosis and treatment.In this study it was aimed to present the diagnosis and treatment of a previously unknown hyperthyroid patient who underwent suspension laryngoscopy under general anesthesia and was post-operatively admitted to the intensive care unit because of pulmonary edema and proceeded to develop severe delirium caused by hyrotoxicosis

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Delirium is an acute organic brain syndrome of different physical and pathophysiological etiologies characterized by a disturbance in consciousness with accompanying change in cognition. Delirium causes prolonged length of stay in hospital and intensive care unit, also increased morbidity and mortality. Thyroid storm is a severe, life-threatening type of thyrotoxicosis and is one of a few endocrine disorders that cause delirium. It is mostly occured suddenly after acute infection, surgical stress or trauma. This condition occurs due to excess production of thyroid hormone and 20-50% mortality rate depends on early diagnosis and treatment.In this study it was aimed to present the diagnosis and treatment of a previously unknown hyperthyroid patient who underwent suspension laryngoscopy under general anesthesia and was post-operatively admitted to the intensive care unit because of pulmonary edema and proceeded to develop severe delirium caused by hyrotoxicosis

Özet

Deliryum; farklı fiziksel veya fizyopatolojik nedenler ile beynin etkilenmesine bağlı bilinç ve yönelim bozukluğu ile karakterize, davranışın ileri derecede bozulduğu bir akut organik beyin sendromudur. Deliryum hastane ve yoğun bakım yatış süresinde uzamaya, morbidite ve mortalitede artışa neden olmaktadır. Tiroid fırtınası hayatı tehdit eden ağır bir tirotoksikoz tablosu olup, deliryuma neden olan endokrinolojik bozukluklardan birisidir. Çoğunlukla akut enfeksiyon, cerrahi stres veya travma sonrasında ani olarak ortaya çıkar. Tiroid hormonlarının fazla salgılanması sonucu ortaya çıkan bu tablonun erken tanı ve tedaviye bağlı olarak mortalitesi %20-50 arasında değişmektedir. Bu çalışmada genel anestezi altında süspansiyon laringoskopi sonrası akciğer ödemi tanısıyla yoğun bakıma alınan bir olguda, hiperaktif deliryum ile ortaya çıkan tirotoksikoz tablosunun tanı ve tedavi sürecini sunmak amaçlandı

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Cite This Article

GİRGİN, N. K., İŞÇİMEN, R., AYDOĞMUŞ, İ., BORA, S., KAHVECİ, F., KOCAELİ, A. A. (2016). Thyroid Storm in Postoperative Delirium Etiology: Case Report. Türk Yoğun Bakım Dergisi, Cilt: 14 - Sayı: 2, 63–67. https://ajindex.com/articles/327757

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