Abstract
Depressed serum thyroid hormone concentrations from either preexisting chronic hypothyroidism or induced by physiologic stress may affect clinical outcome in the perioperative period. This article discusses the various forms of thyroid hormone, the effect of hypothyroidism on patients undergoing surgery, the general role of thyroid hormone supplementation in the perioperative period, and the use of triiodothyronine as a possible inotropic agent in the setting of cardiac surgery. In addition, we review alterations in thyroid hormone associated with brain death and the possible role of thyroid hormone supplementation in the setting of organ harvest procedures.
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