Thyroid storm during surgery is due to?: (A) Rough handling during surgery, (B) Inadequate preoperative preparation, (C) Perioperative intervention, (D) Glucocorticoid side effect
Answer is B. Ans. (b) Inadequate Preoperative preparationRef: Schwartz 110th edition, Page 534* The condition may be precipitated by abrupt cessation of anti-thyroid medications, infection, thyroid or non-thyroid surgery, and trauma in patients with untreated thyrotoxicosis.* Occasionally, thyroid storm may result from amiodarone administration or exposure to iodinated contrast agents or following RAI therapy.