[Solved]: Andrea Coles is undergoing a thyroidectomy for…

Andrea Coles is undergoing a thyroidectomy for Graves disease. The surgeon has been working for more than 1 hour trying to dissect the gland, his efforts hampered by scar tissue from a surgery that Andrea had several years ago to drain a deep neck abscess. Shortly after the surgeon announces that he has been able to make some progress with the dissection, the anesthesia provider notes that Andrea’s heart rate has increased from 90 to 130 beats/min, and her blood pressure has begun to fall. Her temperature is 102°F. What intraoperative complication is Andrea experiencing? What has likely precipitated the complication? What actions should the team take to address this complication? What additional symptoms might be present if Andrea were not under general anesthesia?