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Thyroid Storm

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Evidence-Based Critical Care

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Abstract

Thyroid storm represents the severe end of the spectrum of thyrotoxicosis and is characterized by compromised organ function. It is one of the most critical endocrine emergencies; prompt recognition and management are crucial to reduce morbidity and mortality. The mortality rate of thyroid storm can be substantial, ranging from 10% to 30% of cases. In this chapter the pertinent principles of management will be reviewed. We will also review the common precipitating factors and hypotheses regarding the development of thyroid storm. Patient presentation, diagnosis, and treatment will be examined, along with diagnostic scoring tools and specific medications used in the management of thyroid storm. As part of the evidence contour we will assess other less commonly used therapies for thyroid storm, including l-Carnitine and extracorporeal plasmapheresis.

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Author information

Authors and Affiliations

  1. Section of Pulmonary, Critical Care and Sleep Medicine, Norwalk Hospital, Norwalk, CT, USA

    Santosh Vaghela & Robyn Scatena

  2. Yale University School of Medicine, New Haven, CT, USA

    Santosh Vaghela & Robyn Scatena

Authors
  1. Santosh Vaghela
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  2. Robyn Scatena
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Corresponding author

Correspondence to Robyn Scatena .

Editor information

Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C. Hyzy

  2. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

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Vaghela, S., Scatena, R. (2020). Thyroid Storm. In: Hyzy, R.C., McSparron, J. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-26710-0_53

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  • DOI: https://doi.org/10.1007/978-3-030-26710-0_53

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26709-4

  • Online ISBN: 978-3-030-26710-0

  • eBook Packages: MedicineMedicine (R0)

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