Comparison between general anesthesia and superficial cervical plexus block in partial thyroidectomies

Mamede, Rui Celso Martins; Raful, Helder

doi:10.1016/s1808-8694(15)30758-8

Cited by 10 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Authors emphasize that local anesthesia can be a safe alternative to general anesthesia (4). Slightly longer duration of the procedure and possible transient bradycardia (14) or arrhythmia (8) have to be accepted with local anesthesia. However, this is compensated by lower costs of the procedure and lower rate of complications involving injury of the recurrent laryngeal nerve (14).…”

Section: Discussionmentioning

confidence: 99%

“…Slightly longer duration of the procedure and possible transient bradycardia (14) or arrhythmia (8) have to be accepted with local anesthesia. However, this is compensated by lower costs of the procedure and lower rate of complications involving injury of the recurrent laryngeal nerve (14). According to some authors, lower rate of this nerve injury may be attributable to conversation with the patient, being a type of "monitoring" (14).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Banasiewicz

Meissner

Pyda

et al. 2011

Polish Journal of Surgery

View full text Add to dashboard Cite

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). Material and methods. 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. Results. 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. conclusions. 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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Banasiewicz

Meissner

Pyda

et al. 2011

Polish Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…The authors found that local anesthesia was associated with longer surgery time, but with significantly reduced costs and incidence of laryngotracheal injury resulting from introducing the laryngoscope and/ or anesthesia probe. No difference was noted in hospital stay or patient satisfaction [20]. Snyder et al also reported no difference in demographics, postoperative complications, hospital admissions, or patient satisfaction.…”

Section: Discussionmentioning

confidence: 95%

“…Although data are limited, it appears that thyroidectomy under local anesthesia is cost-effective [4,20,21 • ]. Spanknebel et al reported cost data for a cohort of patients undergoing thyroidectomy by surgeons with a focus in endocrine surgery and demonstrated an appreciable difference in average total cost for local anesthesia ($2,974) versus general anesthesia ($4,412).…”

Section: Advantages Of Local and Regional Anesthesiamentioning

confidence: 99%

Thyroidectomy Under Local Anesthesia

Milan

Sosa

2013

Curr Surg Rep

View full text Add to dashboard Cite

Thyroidectomy under local anesthesia was common historically. With improvements in general anesthesia, local anesthesia techniques are now restricted to patients deemed too ill to undergo general anesthesia or to those who live in extremely resource-poor locations. In the last few decades there has been renewed interest in thyroidectomy under local anesthesia, and the few published series reveal morbidity outcomes are equivalent to those for thyroidectomy under general anesthesia. Limited data on the cost of the procedure indicate thyroidectomy under local anesthesia is cost-effective.

show abstract

“…Even though general anaesthesia is often preferred for head and neck surgeries, bilateral deep and/or superficial SPB administrations have become a current issue for analgesics purposes during and after the operation (2,(11)(12)(13)(14). When methods applied by adding bilateral deep cervical plexus block to BSCPB without general anaesthesia were examined, it was observed that patients are discharged from hospital much earlier with this method, however patients should be selected very carefully in terms of surgical procedures, general conditions of patients and anxiety, otherwise both patient and surgeon comfort grow worse (15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Çanakçı¹,

Taş²,

Yağan³

et al. 2015

Ege Tıp Dergisi

View full text Add to dashboard Cite

Aim: The purpose of this study was to assess the effect of bilateral superficial cervical plexus block (BSCPB), administered along with general anesthesia in total thyroidectomy surgical operations, on postoperative opioid consumption and the duration of hospital stay. Materials and Methods:A total of 150 patients who underwent total thyroidectomy surgical operations under general anesthesia and had or did not have bilateral superficial cervical plexus blockade (BSCPB), were prospectively evaluated in terms of their postoperative tramadol needs and durations of hospital stay. At the beginning of the surgical intervention after anesthesia induction, 75 patients who received BSCPB administered with a 0.5% of 20 mL levobupivacaine constituted the BSCPB group; on the other hand, 75 patients in the control group received only general anesthesia and no BSCPB was administered. Results: No statistically significant difference was found when age, gender, height, weight and ASA (American Society of Anesthesiologists) physical status classifications of patients in both groups were compared. Only 15 patients out of 75 patients in the BSCPB group (20%) had postoperative opioid needs, whereas this rate was determined as 85% in 64 patients out of 75 patients in the control group (p<0.05). Similarly, the tramadole consumption in the BSCPB group was significantly less when compared to the control group (p<0.05). Postoperative hospital stay in the BSCPB group (2.4±0.6) was also significantly less than that of the control group (4.7±1.6) (p<0.05) Conclusion: Bilateral superficial cervical plexus block administered along with general anesthesia in thyroidectomy operations considerably reduces pain and tramadol need in the postoperative period and lessens the duration of hospital stay.Keywords: Thyroidectomy, superficial cervical plexus block, opioid. Öz Amaç: Total tiroidektomi operasyonların da genel anesteziye ek olarak uygulanan bilateral yüzeyel servikal pleksus bloğu (BYSPB)'nun postoperatif opioid tüketimi ve hastanede yatış süresine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Genel anestezi altında total tiroidektomi operasyonu geçiren, bilateral yüzeyel servikal pleksus blokajı (BYSPB) yapılan ve yapılmayan toplam

show abstract

Comparison between general anesthesia and superficial cervical plexus block in partial thyroidectomies

Abstract: Although the incidence of bradycardia was higher (23.8%), SCPB was done for the resection of tumors measuring up to 348 cm3, at a lower cost and with no laryngotracheal injuries; these were present in 51% of patients undergoing GA.

Cited by 10 publications

References 13 publications

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Thyroidectomy Under Local Anesthesia

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Contact Info

Product

Resources

About