Hipocalcemia clínica post-cirugía de tiroides
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i1.1574Keywords:
hypocalcemia, thyroidectomy, calciumAbstract
Hypocalcemia following thyroid surgery is one of the most frequent complications, a situation that prolongs hospital stay and increases the costs of the procedure. Predictive factors should be investigated to administer calcium to at-risk patients in order to decrease the severity of symptoms and shorten hospitalization. In the Carlos Andrade Marín Hospital, elective thyroid surgery is the third surgical procedure in frequency, of cholecystechias and hernioplasties. Of particular importance is the early detection of complications arising from this surgery.
Downloads
Metrics
References
Riccardi D, Brown EM. Physiology and pathophysiology of the calcium-sensing receptor in the kidney. Am J Physiol Renal Physiol 2010; 298:485.
Dickerson RN, Alexander KH, Minard G, et al. Accuracy of methods to estimate ionized and "corrected" serum calcium concentrations in critically ill multiple trauma patients receiving specialized nutrition support. JPEN J Parenter Enteral Nutr 2004; 28:133.
Flynn MB, Lyons KJ, Tarter JW, Ragsdale TL. Local complications after surgical resection for thyroid carcinoma. Am J Surg 1994; 168:404.
Kaplan EL, Sugimoto J, Yang H, Fredland A. Postoperative hypoparathyroidism: diagnosis and management en Kaplan EL. Surgery of the thyroid and parathyroid glands. Ed Churchill Livingstone. New York. 1983. p 262.
Serpell JW, Phan D. Safety of total thyroidectomy. ANZ J Surg 2007; 77:15.
Lo CY, Kwok KF, Yuen PW. A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy. Arch Surg 2000; 135:204.
Marcus B, Edwards B, Yoo S, et al. Recurrent laryngeal nerve monitoring in thyroid and parathyroid surgery:the University of Michigan experience. Laryngoscope 2003; 113:356.
Chan WF, Lang BH, Lo CY. The role of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy: a comparative study on 1000 nerves at risk. Surgery 2006; 140:866.
McGinn JD. Prevention of complications in revision endocrine surgery of the head & neck. Otolaryngol Clin North Am 2008; 41:1219-1230.
Prim MP, De Diego JI, Hardisson D, Madero R, Gavilán J. Factors related to nerve injury and hypocalcemia in thyroid gland surgery. Otolaryngol Head Neck Surg 2001; 124:111-114.
Walsh SR, Kumar B, Coveney EC. Serum calcium slope predicts hypocalcaemia following thyroid surgery. Int J Surg 2007; 5:41-4.
Youngwirth L, Benavidez J, Sippel R, Chen H. Postoperative parathyroid hormone testing decreases symptomatic hypocalcemia and associated emergency room visits after total thyroidectomy. Surgery 2010; 148:841.
