Implementation of ERAS protocol in thyrotoxicosis patients undergoing thyroidectomy

Abstract

Aim – to evaluate the results of ERAS protocol implementation in a complex of anesthetic management of thyrotoxicosis patients undergoing thyroidectomy in specialized endocrine surgery center. Materials and methods. All patients were divided into 2 groups: a group of "balanced analgesia - propofol" (BA-P) - 44 patients, a group of "control-propofol" (C-P) - 41 patients. All thyrotoxicosis patients underwent thyroidectomy under general anesthesia with mechanical ventilation. In BA-P group the bilateral blockade of superficial cervical plexus (BBSCP) was performed as a component of BA before the propofol general anesthesia. We assessed the pain level by VAS, the usage of narcotic and non-narcotic analgesics, the frequency and severity of postoperative nausea and vomiting (PONV) during the first 24 hours of postoperative (post-op) period. Results and discussion. BA with the BBSCP under propofol general anesthesia provided intraoperative opioid-sparing effect: a significant (p