Anesthesia For Thyroid Surgery Research Articles

Anesthesia for thyroid surgery and the possibility of regional blocks as its component

The number of thyroid surgeries is increasing annually. The choice of anesthetic approach influences the speed and quality of postoperative recovery and determines the risk of complications. This review presents data from clinical studies and meta-analyses regarding the impact of various anesthesia methods in thyroid surgery on surgical stress response, hormonal status, and complication risk. The results of the review indicate that the use of regional anesthesia techniques contributes to a reduction in the intensity of postoperative pain, nausea and vomiting, and the incidence of chronic postoperative pain syndrome. Incorporating regional anesthesia techniques into enhanced recovery after surgery protocols for thyroid surgery helps reduce hospital stay duration and treatment costs. A well-studied, simple, and safe technique is the superficial cervical plexus block, while the intermediate cervical plexus block is less studied but considered safe. The deep cervical plexus block is associated with a higher risk of serious complications. Advancements in ultrasound technology in anesthesia have enabled the use of previously inaccessible regional techniques. Potentially beneficial methods for thyroid surgery include pericapsular block and Berry's ligament block. Further research is required to evaluate the efficacy and safety of these methods.

Anesthesia for thyroid surgery in heart transplant patients - first case study in Serbia

Introduction. The number of patients in the world who have undergone heart transplantation is increasing, with better and longer survival rates, and therefore the number of patients who undergo various surgical interventions after transplantation is also increasing. This presents a challenge for anaesthesiologists. Case outline. A 45-year-old female patient underwent a total thyroidectomy due to suspected thyroid cancer. She had a heart transplant three years earlier. Preoperative preparation included evaluation of cardiac function, consultative examinations by a transplant cardiologist, laboratory and other diagnostic procedures, as well as a detailed analysis of all 20 medications that the patient uses in daily therapy. Common drugs were used for premedication and general endotracheal anaesthesia, with careful dose titration. Medicines were also prepared for the occurrence of heart rhythm disorders, bearing in mind that the heart is denervated, but there was no need for their use. The operation and postoperative course went smoothly and on the third postoperative day the patient was discharged from the hospital in good general condition. Conclusion. Preoperative preparation, anaesthesia, and postoperative treatment of this patient represented a challenge for our team, which was successfully overcome, considering that this is the first case of operative treatment of a patient with a transplanted heart in Serbia.

Progress of the application research of acupuncture anesthesia in thyroid surgery

This article reviews the clinical studies on the application of acupuncture anesthesia in thyroid surgery over the past 5 years. Starting from the principle of acupuncture anesthesia, the authors explore the application of acupuncture anesthesia in thyroid surgery, its advantages and development. The summarized findings showed that acupuncture anesthesia has a better analgesic effect in thyroid surgery, which can reduce the occurrence of stress reactions, adverse reactions and complications, and is conducive to postoperative recovery. However, there is a lack of standardized operations. In the future, standardized operations can make acupuncture anesthesia more widely used and popularized.

Effect of dexmedetomidine on reviving period of general anesthesia in thyroid surgery patients

Objective To explore the effect of dexmedetomidine on reviving period of general anesthesia in thyroid surgery patients. Methods A total of 80 patients undergoing thyroid surgery were selected as the subjects.These patients were randomly divided into two groups according to the random table method, 40 cases in each group.The patients in the observation group were given intravenous drip of dexmedetomidine before anesthesia induction, and those in the control group were given intravenous drip of saline.After that, the two groups were given the same method of anesthesia induction.Recovery of the patients, biochemical indicators[including systolic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR), oxygen saturation(SpO2)], sedation and analgesia effects, and the incidence of adverse reactions in the two groups were compared. Results The eye opening recovery time, extubation time, spontaneous breathing time and time for orientation recovery in the observation group were (11.24±1.31)min, (8.67±0.78)min, (6.36±0.43)min and (14.39±1.56)min, respectively, which were shorter than those in the control group[(15.57±2.63)min, (10.42±1.12)min, (8.54±0.65)min and (17.24±2.33)min], the differences were statistically significant(t=9.320, 8.109, 17.691, 6.428, all P<0.05). The SBP levels in the observation group at T1 and T2 were (124.69±10.25)mmHg and (105.54±12.87)mmHg, respectively, which were lower than those in the control group[(138.72±13.84)mmHg and (135.25±13.63)mmHg]; DBP at T2 and T3 in the observation group were (71.53±8.95)mmHg and (76.21±7.34)mmHg, respectively, which were lower than those in the control group[(80.45±10.75)mmHg and (80.29±10.39)mmHg]; HR at T2 in the observation group was (65.18±5.75)times, which was lower than (79.84±8.42) in the control group; and all the above differences were statistically significant(t=5.512, 10.024, 4.033, 2.028, 9.094, all P<0.05). The sedation score, pains score in the observation group were (2.89±0.54)points, (1.42±0.34)points, respectively, which were better than those in the control group[(1.02±0.27)points and (3.71±1.12)points], the differences were statistically significant(t=19.589, 12.374, all P<0.05). The incidence rate of adverse reactions in the observation group was 7.50%, which was lower than 35.00% in the control group, and the difference was statistically significant(χ2=9.038, P<0.05). Conclusion For patients given general anesthesia for thyroid surgery, pre-injection of dexmedetomidine can significantly reduce the stress response in patients during recovery period, and has no impact on the patients' awaking and extubation; besides, it has high safety, and can improve the patients' comfort during recovery, thus serve as an ideal drug for the control of restlessness; therefore, it is of significant value to be popularized in clinical application. Key words: Dexmedetomidine; Thyroid surgery; Anesthesia, general; Recovery period

A Study of Comparison of Cervical Epidural Anaesthesia with General Anaesthesia for Thyroid Surgery

Background: To compare cervical epidural anaesthesia (CEA) technique with general anaesthesia in thyroid surgeries. Method: Fifteen patients were randomly selected to be operated under CEA for thyroid surgeries and their results were compared with 15 other patients who underwent the same surgery under conventional GA technique. Results: CEA was found to be comparable to GA in thyroid surgeries Conclusion: We conclude that cervical epidural anaesthesia can be safely used for thyroid surgery.

Musculocutaneous neuropathy after anaesthesia for thyroid surgery: a case report

Postoperative isolated injury of the musculocutaneous nerve is a rare disorder and complication. Reported cases are claimed to present with loss of biceps and brachialis power without neuropathic pain. When injury occurs to one of the terminal branches of the brachial plexus, the lateral cutaneous nerve of the forearm, pain is the major symptom and it typically radiates along the radial aspect of the forearm. In the literature, isolated lesions of the musculocutaneous nerve have been attributed to repeated microtrauma, indirect trauma or direct trauma to the nerve. It may also occur due to strenuous extension of the forearm for prolonged periods.

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

The local anesthesia in thyroid surgery is rarely used, only in selected patients. Majority of centers performing thyroid surgery with local anesthesia have possibility to convert to the general anesthesia. The aim of the study was to present our experiences with partial thyroidectomy under local anesthesia performed in 49 consecutive subjects in the Central African Republic (bilateral subtotal strumectomy, total resection of the one lobe, subtotal resection of the one lobe). All admitted patients with clinically significant goiter were accepted for surgical treatment. For infiltration anesthesia 1% lignocaine was used. Because of the shortage of medical resources, potential conversion to the general anesthesia was impossible. Before the operation patients had received an oral sedation and antibiotic. In 16 patients general anesthesia was used, in other 33 it was impossible. Subtotal bilateral thyroidectomy was performed in 37 patients, 12 patients underwent lobectomy or partial lobectomy of the affected portion of the gland. There were no intraoperative and postoperative complications noticed in the reported group, including complications related to laryngeal nerve injury. The mean duration of the procedure was 127 minutes and mean medical follow-up was 3 days. General condition of all patients on the day of discharge from hospital was good. Surgery for goiter under local anesthesia may be a safe alternative where general anesthesia is not available or contraindicated for medical reasons. The infiltration anesthesia is simple to perform and reduces the number of complications potentially occurred at the C2-C4 neck plexus block.

Anaesthesia for thyroid surgery: Perioperative management

The aim of this review is to analyse anaesthesiologic preoperative assessment, intraoperative management and postoperative complications of patients with thyroid disease. A special care is paid to difficult airway recognition and resolving this situation. Anaesthetist's and surgeon's point of view of perioperative and postoperative complications is both discussed with special interest on early surgical complications and the need for urgent anaesthetic treatment. Particularly total intravenous anaesthesia and recurrent laryngeal nerve monitoring actually are two end-points in the thyroid surgery.

Intravenous lidocaine reduces propofol requirements during propofol-remifentanil anaesthesia for thyroid surgery

Intravenous lidocaine reduces propofol requirements during propofol-remifentanil anaesthesia for thyroid surgery

Thyroidectomy under local or regional anesthesia

The technique used for local/regional anesthesia for thyroid surgery is described. The experience with a large number of patients undergoing local/regional anesthesia is incorporated in describing this technique.

Anaesthesia for thyroid surgery.

The principles involved in preoperative assessment and management of the patient who is to undergo thyroidectomy are discussed. The techniques of anaesthesia that have been found most successful for thyroidectomy at The Royal North Shore Hospital of Sydney are described. The effectiveness of these techniques is indicated by reference to the complications found following review of 200 consecutive thyroidectomies.

Anes-thesia in Thyroid Surgery. Surgery

Anes-thesia in Thyroid Surgery. Surgery

Anesthesia for Thyroid Surgery. Surg. Clin. North America

Anesthesia for Thyroid Surgery. Surg. Clin. North America

Pentothal Sodium Oxygen Anesthesia in Thyroid Surgery

Pentothal Sodium Oxygen Anesthesia in Thyroid Surgery

Cervical Paravertebral Anesthesia in Thyroid Surgery

Cervical Paravertebral Anesthesia in Thyroid Surgery

Anesthesia for Thyroid Surgery

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