Abstract
The article presents the results of preoperative preparation, anesthesia and surgical treatment of patients operated on for non-toxic nodular goiter. A new approach to preoperative preparation for thyroid surgery is described. The effectiveness in the preoperative period of using the modified method of preoperative preparation using sibazon and droperidol and anesthesia with the use of ketamine and the advantages of this method compared with other methods of general anesthesia are shown.
Highlights
There is a steady increase in the number of thyroid diseases worldwide
It should be considered that during operations on the thyroid gland, it is important to use the optimal method of anesthesia, which would prevent the manifestations of pathological reactions associated with the nature of the main and concomitant diseases
Our studies showed that the initial parameters of сentral hemodynamics in patients in both groups did not significantly differ from each other. conducting a step-by-step monitoring of changes in central hemodynamics, we found that patients in the control group already at the preoperative stage, before induction into anesthesia, there was a significant increase in blood pressure, SBP, DBP, ABP and heart rate (p
Summary
There is a steady increase in the number of thyroid diseases worldwide. A significant number of population living in the territory of Uzbekistan have obvious or hidden functional disorders of the thyroid gland [6]. Analyzing of currently used methods of general anesthesia for thyroid diseases, we can assume that not all of them do fully prevent the negative effects and reactions that occur in the body to surgical stress and have many other serious drawbacks. These include: the use of narcotic analgesics and anesthetics, postoperative respiratory depression and rapid cessation of analgesia in the early postoperative period, a number of adverse hemodynamic changes at traumatic stages of surgery [1]. The appearance of modern drugs for anesthesia and improvement of surgical treatment results at the current stage of development of endocrine surgery is seen in the further improvement of preoperative preparation and intraoperative anesthesia
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