Long-acting β-adrenergic antagonists as preparation for surgery in thyrotoxicosis

P. H. Gerst, J. Fildes, P. Baylor, Joel Zonszein

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

This report describes our experience with 12 patients with thyrotoxic Graves' disease who were prepared for thyroidectomy using only a long-acting orally administered β-adrenergic blocking agent (nadolol or atenolol); iodides were not used. This form of preparation proved to be very effective, fast acting, and economical. It permitted rapid preparation of patients for surgery and resulted in excellent control of the manifestations of hyperthyroidism in the perioperative period. The surgery was relatively easy and bloodless, and there were no operative complications. We recommend that these long-acting β-adrenergic blocking agents be considered as the preferred medication for the preparation of thyrotoxic patients for surgery.

Original languageEnglish (US)
Pages (from-to)838-840
Number of pages3
JournalArchives of Surgery
Volume121
Issue number7
StatePublished - 1986

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Adrenergic Antagonists
Thyrotoxicosis
Nadolol
Perioperative Period
Atenolol
Graves Disease
Thyroidectomy
Iodides
Hyperthyroidism

ASJC Scopus subject areas

  • Surgery

Cite this

Long-acting β-adrenergic antagonists as preparation for surgery in thyrotoxicosis. / Gerst, P. H.; Fildes, J.; Baylor, P.; Zonszein, Joel.

In: Archives of Surgery, Vol. 121, No. 7, 1986, p. 838-840.

Research output: Contribution to journalArticle

Gerst, P. H. ; Fildes, J. ; Baylor, P. ; Zonszein, Joel. / Long-acting β-adrenergic antagonists as preparation for surgery in thyrotoxicosis. In: Archives of Surgery. 1986 ; Vol. 121, No. 7. pp. 838-840.
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