{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:48:33Z","timestamp":1787071713531,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>Awareness of the presence of thyroid function abnormalities in patients with molar pregnancy is important for its prompt diagnosis and management. We report the development of thyroid storm in the immediate post-operative period in a 25-year-old female who underwent evacuation of her molar pregnancy under saddle spinal block after being controlled for her thyrotoxicosis with a combination of antithyroid drugs, iodine, steroids and adrenergic blocking agents. We advocate the use of esmolol infusions up to a maximum dose of 200 \u03bcg\/kg\/min for immediate haemodynamic management of the patient. Optimum time needed for stabilisation of the hyper metabolic state after initiation of antithyroid drugs is still not known and evacuation of molar pregnancy remains the only definitive management of the thyrotoxic state.<\/jats:p>","DOI":"10.4103\/0019-5049.170035","type":"journal-article","created":{"date-parts":[[2015,11,20]],"date-time":"2015-11-20T08:47:24Z","timestamp":1448009244000},"page":"739-742","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Peri-operative concerns in a patient with thyroid storm secondary to molar pregnancy"],"prefix":"10.4103","volume":"59","author":[{"given":"Tanvir","family":"Samra","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranvinder","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalita","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251205","first-page":"356","article-title":"Hydatidiform mole with hyperthyroidism-perioperative challenges","volume":"59","author":"Nandini","year":"2009","journal-title":"J Obstet Gynecol India"},{"key":"R2-20251205","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1038\/bjc.2011.139","article-title":"Hyperthyroidism and human chorionic gonadotrophin production in gestational trophoblastic disease","volume":"104","author":"Walkington","year":"2011","journal-title":"Br J Cancer"},{"key":"R3-20251205","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/S0889-8529(18)30165-8","article-title":"Life-threatening thyrotoxicosis. Thyroid storm","volume":"22","author":"Burch","year":"1993","journal-title":"Endocrinol Metab Clin North Am"},{"key":"R4-20251205","doi-asserted-by":"crossref","first-page":"2379","DOI":"10.2169\/internalmedicine.51.7974","article-title":"Thyroid storm with multiple organ failure, disseminated intravascular coagulation, and stroke with a normal serum FT3 level","volume":"51","author":"Harada","year":"2012","journal-title":"Intern Med"},{"key":"R5-20251205","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1089\/thy.2007.0212","article-title":"Thyroid storm caused by a partial hydatidiform mole","volume":"18","author":"Chiniwala","year":"2008","journal-title":"Thyroid"},{"issue":"Suppl 2","key":"R6-20251205","first-page":"S167","article-title":"Thyroid disorders in pregnancy","volume":"16","author":"Ramprasad","year":"2012","journal-title":"Indian J Endocrinol Metab"},{"key":"R7-20251205","doi-asserted-by":"crossref","first-page":"102","DOI":"10.3389\/fendo.2014.00102","article-title":"Clinical concepts on thyroid emergencies","volume":"5","author":"Papi","year":"2014","journal-title":"Front Endocrinol (Lausanne)"},{"key":"R8-20251205","first-page":"e292","article-title":"Utility of esmolol in thyroid crisis","volume":"13","author":"Duggal","year":"2006","journal-title":"Can J Clin Pharmacol"},{"key":"R9-20251205","first-page":"3381","article-title":"The impact of ultrasonographic lesion size and initial human chorionic gonadotropin values on treatment success in cases with complete hydatidiform mole","volume":"17","author":"Seckin","year":"2013","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"R10-20251205","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/S0034-7094(11)70071-X","article-title":"Thyrotoxic crisis associated with gestational trophoblastic disease","volume":"61","author":"De Almeida","year":"2011","journal-title":"Rev Bras Anestesiol"},{"key":"R11-20251205","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4103\/0019-5049.79900","article-title":"Hydatidiform mole: A sour encounter with a grapy case","volume":"55","author":"Kurdi","year":"2011","journal-title":"Indian J Anaesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01762628-201559110-00008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:51:59Z","timestamp":1787068319000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01762628-201559110-00008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/0019-5049.170035","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11]]}}}