Key result
Local anesthesia with sedation enables safe thyroidectomy in a patient unfit for general anesthesia.
Why the study?
Local anesthesia combined with monitored anesthesia care has been reintroduced as an alternative to general anesthesia for some thyroidectomies due to advances in intravenous anesthetic agents.
Does local anesthesia combined with monitored anesthesia care provide an effective alternative to general anesthesia for thyroidectomy?
Case Report (n=1)
Does local anesthesia combined with monitored anesthesia care provide an effective alternative to general anesthesia for thyroidectomy?
Local anesthesia combined with monitored anesthesia care is a viable alternative to general anesthesia for thyroid surgery, enabling rapid recovery and potential outpatient management.
May offer an alternative for patients unfit for general anesthesia; leaves open need for larger studies before wider use.
Historically, thyroid and parathyroid surgery was done initially under local anesthesia. With the advent of safer general anesthetic techniques, the need for local anesthesia fell dramatically. Recently the use of local anesthesia combined with monitored anesthesia care (MAC) has been reintroduced as an alternative to general anesthesia for some particular thyroidectomy. Newer intravenous anesthetic agents allow for the establishment of effective sedation and analgesia with adjusted level and duration of action. This allows for monitoring of the effectiveness of the anesthesia during the surgical procedure that meet the patient's comfortable needs and the surgeon's technical needs. This approach allows for rapid recovery of alertness and early assessment of the patient's initial postoperative recovery. Additionally, it optimizes the potential for outpatient .Bangladesh Med J. 2015 Jan; 44 (1): 38-40
No takes yet. Share an insight, caveat, or question.
Aich et al. (2016) conducted a case report in Thyroid swelling (Follicular carcinoma) with COPD (n=1). Local anesthesia with sedation was evaluated. Local anesthesia with sedation was safely and successfully used to perform thyroid surgery in a 25-year-old male with follicular carcinoma who was unfit for general anesthesia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: