In preparation for thyroid surgery, the American Thyroid Association guidelines recommend rendering the patient euthyroid and effectively 'beta-blocked' to decrease the risk of a potentially lethal thyrotoxic crisis [2].

Why does thyroid storm happen after thyroidectomy?

One of the rarer complications from thyroid surgery is precipitation of a thyroid storm, which can occur intraoperatively or postoperatively. It is thought to occur secondary to thyroid gland manipulation in the operating room in patients with hyperthyroidism.

How do you prepare for a thyroidectomy?

As a general rule, do not eat or drink anything after midnight the night before, and arrive at least two hours before your scheduled surgery. Most often you can take your routine medications with a sip of water. Medication guidelines prior to surgery will be discussed at your pre-operative visit.