Diagnosis and management of intraoperative thyroid storm in a child with undiagnosed Graves' disease: a case report.

Background: Thyroid storm is a life-threatening manifestation of thyrotoxicosis and presents with fever, diaphoresis, tachycardia, hypertension, and widened pulse pressure.

Case Presentation: We present a case of intraoperative thyroid storm in a 12-year-old female undergoing posterior spinal fusion. Despite adequate depth of anesthesia and analgesia, the patient was persistently tachycardic and hypertensive.

Smoking cessation medications and cigarettes in Guatemala pharmacies.

Background: Guatemala, a party to the Framework Convention on Tobacco Control (FCTC), is obliged to promote the wider availability of smoking cessation treatment and to restrict tobacco advertising. Pharmacies are fundamental in providing smoking cessation medications but also might increase the availability of cigarettes.

Purpose: To assess availability of cessation medications and cigarettes and their corresponding advertising in Guatemala pharmacies.