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- Title
Local anesthesia with monitored anesthesia care for patients undergoing thyroidectomy.
- Authors
Se Eun Kim; Eugene Kim
- Abstract
Because the current trend favors minimally invasive surgery for thyroid disease, increasing interest has developed for thyroidectomy under local anesthesia with monitored anesthesia care (MAC). Here, we retrospectively reviewed 18 cases of thyroidectomy performed under local anesthesia with MAC in a single center. All of the procedures were performed by a single surgeon, using local lidocaine infiltration around the incisional site and propofol plus remifentanil targetcontrolled infusion. Sore throat (4/18), hypocalcemia (1/18), and transient voice color change (1/18) were observed, but the patients recovered during the follow-up period. No cases of postoperative nausea and vomiting, hematoma, wound problems, or vocal cord paralysis were observed. Local anesthesia with MAC provided satisfactory sedation in most patients without conversion to general anesthesia.
- Subjects
LAPAROSCOPIC surgery; THYROID diseases; THYROIDECTOMY; ANESTHESIA; HYPOCALCEMIA
- Publication
Korean Journal of Anesthesiology, 2016, Vol 69, Issue 6, p635
- ISSN
2005-6419
- Publication type
Article
- DOI
10.4097/kjae.2016.69.6.635