title: Peri-operative management of severe thyrotoxicosis with esmolol.
abstract: A case of severe thyrotoxicosis with cardiac decompensation is reported. Use of propranolol was followed by cardiovascular collapse. Esmolol, the beta-1 adrenoceptor blocking agent was successfully used to control the thyrotoxic state. A discussion of possible advantages of esmolol is provided.
authors.affiliation: Department of Anesthesiology, University of South Alabama, College of Medicine, Mobile 36617.
authors.forename: H R
authors.initials: HR
authors.lastname: Vijayakumar
authors.forename: W O
authors.initials: WO
authors.lastname: Thomas
authors.forename: J J
authors.initials: JJ
authors.lastname: Ferrara
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical; D005260:Female; D006801:Humans; D007866:Leg / Q000601:surgery; D011182:Postoperative Care; D011300:Preoperative Care; D011412:Propanolamines / Q000627:therapeutic use*; D013965:Thyroidectomy; D013971:Thyrotoxicosis / Q000188:drug therapy* / Q000503:physiopathology / Q000601:surgery
chemical_list: D000319:Adrenergic beta-Antagonists; D011412:Propanolamines; C036604:esmolol