Thyroid Surgery When General Anesthesia is Not Feasible

  • Manilal Aich Professor, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Md Asadur Rahman Registrar, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Sharfuddin Mahmud Assistant Registrar, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Siddikur Rahman Assistant Registrar, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Md Mizanur Rahman Registrar, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • DGM Akaiduzzaman Assistant Professor Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Md Zahedul Alam Professor, Dept. of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
Keywords: Local anaesthesia, thyroid surgery, general anaesthesia

Abstract

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 patients comfortable needs and the surgeons technical needs. This approach allows for rapid recovery of alertness and early assessment of the patients initial postoperative recovery. Additionally, it optimizes the potential for outpatient surgical care. We report a 25 year old male, diagnosed as a case of follicular adenoma of thyroid with emphysematous bullae; who had undergone thyroidectomy under local anaesthesia. Surgery was uneventful and resulted in a decreased length of stay, cost and operating time.

DOI: http://dx.doi.org/10.3329/bjo.v20i2.22025

Bangladesh J Otorhinolaryngol; October 2014; 20(2): 93-97

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Abstract
699
PDF
934
Published
2015-02-09
How to Cite
Aich, M., Rahman, M. A., Mahmud, S., Rahman, S., Rahman, M. M., Akaiduzzaman, D., & Alam, M. Z. (2015). Thyroid Surgery When General Anesthesia is Not Feasible. Bangladesh Journal of Otorhinolaryngology, 20(2), 106-108. https://doi.org/10.3329/bjo.v20i2.22025
Section
Case Reports