Thyroid surgery when general anesthesia is not feasible

Authors

  • Manilal Aich Professor, Department of Otolaryngology and Head-Neck Surgery, SirSalimullah Medical College & Mitford Hospital, Dhaka
  • Md Asadur Rahman Registrar, Department of Otolaryngology and Head-Neck Surgery, SirSalimullah Medical College & Mitford Hospital, Dhaka
  • Sharfuddin Mahmud Assistant Registrar, Department of Otolaryngology and Head- Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Siddikur Rahman Assistant Registrar, Department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Md Mizanur Rahman Registrar, Department of Otolaryngology and Head-Neck Surgery, SirSalimullah Medical College & Mitford Hospital, Dhaka
  • DGM Akaiduzzaman Assistant Professor, Department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College & Mitford Hospital, Dhaka
  • Md Zahedul Alam Professor, Department of Otolaryngology and Head-Neck Surgery, SirSalimullah Medical College & Mitford Hospital, Dhaka

DOI:

https://doi.org/10.3329/bmj.v44i1.26350

Keywords:

Thyroid surgery, general anaesthesia, local 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 patient's comfortable needs and the surgeon's technical needs. This approach allows for rapid recovery of alertness and early assessment of the patient's initial postoperative recovery. Additionally, it optimizes the potential for outpatient .

Bangladesh Med J. 2015 Jan; 44 (1): 38-40

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Author Biography

Manilal Aich, Professor, Department of Otolaryngology and Head-Neck Surgery, SirSalimullah Medical College & Mitford Hospital, Dhaka



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Published

2016-01-12

How to Cite

Aich, M., Rahman, M. A., Mahmud, S., Rahman, S., Rahman, M. M., Akaiduzzaman, D., & Alam, M. Z. (2016). Thyroid surgery when general anesthesia is not feasible. Bangladesh Medical Journal, 44(1), 38–40. https://doi.org/10.3329/bmj.v44i1.26350

Issue

Vol. 44 No. 1 (2015)

Section

Case Reports