A Patient with Graves’ Disease Scheduled for Thyroidectomy with High Risk for Thyroid Storm Caused by Severe Medication Nonadherence: Anaesthetic and Surgical Considerations

Table 1

Results of biochemical investigations and clinical course of the patient. TRAK = thyrotropin receptor antibodies: U/L; FT3.

	–63 days	–23 days	–13 days	–5 days	Surgery	+1 day	+2 days	+7 days
	Start medication	Switch; medication	Switch; medication	Anaesthesiol.; consultation	Prior to; surgery	Follow-up	Follow-up	Follow-up
FT3	44.1		22.0	24.3	19.6			4.2
(3.0–6.5)
FT4	99.7		41.9	44.5	47.1			18.9
(10.0–20.5)
TSH	0.01		0.01	0.008	<0.008			0.002
(0.200–4.000)
TRAK	25.29
Heart rate	80		87	114	80	93	76	90
Blood pressure	110/80		128/75	150/85	120/75	130/55	140/94	130/85