Total thyroidectomy for giant goiter under local anesthesia and Ketamine in a surgical mission

Abstract

HighlightsTotal thyroidectomy for giant goiters can be done under local anesthesia and should be an option to be reserved for most difficult cases and when airway cannot be secured.Surgeons and anesthesiologists participating in surgical missions may have to perform major surgery under local anesthesia.Close cooperation of the surgical team is manadatory.

Thyroidectomy Under Local Anesthesia

“…By employing LA many complications can be avoided that may have significant consequences if general anesthesia is used like hazards of laryngoscopy and endotracheal intubation, side effects of anesthetics used, accidental resection of recurrent laryngeal nerve (this can be taken care of by continuous voice monitoring of the patient while under LA), as well as cardiac changes. 8,12 In present study in spite of thorough counseling few patients showed anxiety and panic which was successfully dealt with by counseling. The local anesthesia for thyroidectomy was cost effective.…”

Thyroid Surgery under Local Anaesthesia: Study of 30 Cases

“…Under local anaesthesia complication of general anaesthesia like hazards of endotracheal complication, side effects of anaesthetics, injury to recurrent laryngeal nerve can be avoided. Injury to recurrent laryngeal nerve can be avoided by voice monitoring during operation under local anesthesia as well as cardiac changes 4,11 .…”

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“…Which is much cheaper and requires less experience with its use. 16 The patient presented goiter. The anesthesiologist's main concern is the potential risk of the difficult airway.…”