title: Oral triiodothyronine in the perioperative management of central hypothyroidism.
abstract: Oral triiodothyronine (T3) has never been described in literature as a major form of perioperative therapy. This series highlights the role of oral triiodothyronine in the perioperative management of patients with overt hypothyroidism for semi-urgent surgeries. We describe 12 patients with central hypothyroidism occurring secondary to pituitary tumours manifesting with severe neurological symptoms that required early surgical intervention. These patients were managed without any significant complications by administering perioperative oral triiodothyronine.
authors.affiliation: Department of Anaesthesia, Christian Medical College Hospital, Vellore, Tamil Nadu, India.
authors.forename: T
authors.initials: T
authors.lastname: Venkatesan
authors.forename: N
authors.initials: N
authors.lastname: Thomas
authors.forename: M
authors.initials: M
authors.lastname: Ponniah
authors.forename: D
authors.initials: D
authors.lastname: Khan
authors.forename: A G
authors.initials: AG
authors.lastname: Chacko
authors.forename: V
authors.initials: V
authors.lastname: Rajshekhar
mesh_terms: D000284:Administration, Oral; D000328:Adult; D000075202:Contraindications; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000188:drug therapy* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D019990:Perioperative Care / Q000379:methods*; D012189:Retrospective Studies; D014284:Triiodothyronine / Q000008:administration & dosage*
chemical_list: D014284:Triiodothyronine