Partial thyroidectomy under local anaesthesia—the analysis of 49 subsequent cases

Banasiewicz, Tomasz; Meissner, Wiktor; Pyda, Przemysław; Wierzbicki, T; Głyda, Michał; Musial, M. Judith; Smoliński, Szymon; Iwanik, Katarzyna; Drews, Michał

doi:10.1007/s00423-008-0345-z

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…In a study of General and Local Anaesthesia among 130 patients undergoing thyroidectomies in a University Hospital in Bulgaria, the authors observed that the average duration of surgery under LA was 98 minutes, while the average duration of surgery under GA was 127 minutes [15]. Banasiewiecz T et al [18] reported an average operation time of 127 minutes, while Chintale SG et al [11] reported a duration of 50.5 minutes and also observed about 40% reduction in cost of surgery, when compared with the use of general anaesthesia. Our average operation time of 90 mins, could probably be attributed to the fact that most (43.4%) of our patients had lobectomy which was carried out under 60 mins.…”

Section: Discussionmentioning

confidence: 99%

Thyroidectomy under Local Anaesthesia: A Viable Option in a Resource Limited Community

Dahilo¹,

Folorunsho²,

Damtong³

et al. 2021

IJOHNS

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Background: In most centers worldwide, thyroidectomy is performed under general anaesthesia as a result of advances in anaesthetic technique, consideration for patients' safety and surgeons' convenience. However, in some developing countries such as Nigeria, facilities and expertise for general anaesthesia are not equitably distributed. As such, they are not available in some health centers especially in the rural communities. Hence, the need to explore other suitable alternatives such as operating under local anaesthesia. Aim: This study aims to highlight the feasibility and safety of thyroidectomy under local anaesthesia at a surgical outreach in a rural community in Nigeria. Patients and Methods: The study site was conducted at Bethany Medical Centre, Gboko, Benue State, Nigeria. It was a one-week surgical outreach. Neck infiltration with local anaesthesia was carried out using 2% xylocaine with adrenaline 1:200,000 and a standard open technique was used to carry out all thyroidectomies. Results: Out of seventy (70) patients that presented during the study period, 31 (44.3%) met the inclusion criteria and were operated within the seven (7) days period. There were 3 (10.7%) males and 28 (89.3%) females. There ages ranged between 22 to 65 years, average was 43 years. The average duration of surgery was 90 minutes, and 3 days' hospital stay. Those followed up two weeks post-operation recuperated well with no notable complications. Conclusion: Thyroidectomy under local anaesthesia is safe and feasible in our rural communities and in selected cases can be a suitable alternative to general anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Thyroidectomy under Local Anaesthesia: A Viable Option in a Resource Limited Community

Dahilo¹,

Folorunsho²,

Damtong³

et al. 2021

IJOHNS

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“…Important considerations for using a local anesthesic technique are a cooperative patient, a surgeon accustomed with performing a thyroidectomy under these circumstances, and no allergy to local anesthetics. Contraindications include a known retroesophageal or retrotracheal goitre, concomitant cervical lymphadenectomy, and known or suspected locally invasive cancer [ 14 , 15 ]. Local anesthesia can be accomplished using a regional block of the cervical plexus combined with an anterior field block or an anterior field block alone.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic Considerations in a Patient with Amiodarone-Induced Thyrotoxicosis

Calis

Berendsen

Logeman

et al. 2010

Case Reports in Medicine

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Amiodarone-induced thryrotoxicosis (AIT) is a rare but serious complication of amiodarone use, especially in patients with severe cardiac disease. We present a patient who developed AIT, following administration of amiodarone for life-threatening ventricular arrhythmias. We discuss the medical management of AIT and anesthetic considerations for management of patients with thyrotoxicosis and severe cardiac disease who require surgery including thyroidectomy.

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“…Heute können regionale Blockaden mit der Allgemeinanästhesie als kombiniertes Verfahren eingesetzt werden. Dadurch wird die intraoperative Gabe von Opioiden signifikant reduziert, die postoperative Analgesie verbessert und der Gesamtkrankenhausaufenthalt verkürzt [6,8,65].…”

Section: Wahl Des Narkoseverfahrensunclassified

Anästhesie bei Eingriffen an endokrinen Organen

Nothnagel¹,

Pappert²

2016

Die Anästhesiologie

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Einleitung Operationen stimulieren das Endokrinium durch Stress und Schmerzen. Diese Stimulation ist abhängig von Größe, Ausdehnung und Art des Eingriffs. Bei vorbestehender Regulations-oder Funktionsstörung einzelner endokriner Organe sind zudem spezifische Störungen der Homöostase möglich, woraus Dysfunktionen weiterer Organsysteme resultieren können. Das endokrine System hat somit einen erheblichen Einfluss auf die peri-und postoperative Morbidität und Letalität. Dieses Kapitel behandelt die anästhesiologisch relevanten Aspekte der Dysfunktion endokriner Organe und die Besonderheiten der Narkose bei endokrinen Tumoren. Endokrine Erkrankungen beeinflussen bis auf wenige Ausnahmen nicht die Wahl des Anästhesieverfahrens. Eine genaue Evaluation und konsequente präoperative Optimierung des Patienten (Kap. ▶ Anästhesiologische Beurteilung des Patienten: Endokrines System), aber auch die Kenntnis möglicher intra-oder postoperativer Störungen der endokrinen Homöostase sind für die Senkung der perioperativen Morbidität und Letalität von Bedeutung.

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Partial thyroidectomy under local anaesthesia—the analysis of 49 subsequent cases

Abstract: Surgery for goitre under local anaesthesia may be a safe alternative where general anaesthesia is not available or contraindicated for medical reasons.

Cited by 8 publications

References 13 publications

Thyroidectomy under Local Anaesthesia: A Viable Option in a Resource Limited Community

Thyroidectomy under Local Anaesthesia: A Viable Option in a Resource Limited Community

Anesthetic Considerations in a Patient with Amiodarone-Induced Thyrotoxicosis

Anästhesie bei Eingriffen an endokrinen Organen

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