Thyroid surgery under monitored anesthesia care (MAC) / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 284-289, 2009.
Article
in Korean
| WPRIM
| ID: wpr-104664
ABSTRACT
BACKGROUND:
Thyroid surgery is usually performed under general anesthesia, but thyroid surgery under monitored anesthesia care (MAC) has become re-introduced. We report our experiences of 40 cases of thyroid surgery under MAC.METHODS:
Forty patients were enrolled in this study. Bilateral superficial cervical plexus block (BSCPB) was performed by using 1% mepivacaine with 1 200,000 epinephrine. After BSCPB, patients were sedated with propofol and fentanyl. Postoperative pain, sore throat, hoarseness, and postoperative nausea and vomiting (PONV) were assessed.RESULTS:
Mean postoperative pain VAS were 1.3, 1.2, 1.0, 0.8 and postoperative sore throat VAS 1.4, 1.4, 1.1, 0.9 at PACU (post-anesthesia care unit) and postoperative 3, 6, 12 h, respectively. The incidence of hoarseness was 25, 5, 2.5%, and 0% and PONV were 0, 5, 10%, and 7.5% at PACU and postoperative 3, 6, 12 h, respectively.CONCLUSIONS:
Thyroid surgery under MAC may be a suitable alternative to general anesthesia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Thyroid Gland
/
Epinephrine
/
Pharyngitis
/
Propofol
/
Cervical Plexus
/
Fentanyl
/
Hoarseness
/
Incidence
/
Postoperative Nausea and Vomiting
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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