Thyroid surgery under monitored anesthesia care (MAC).
10.4097/kjae.2009.56.3.284
- Author:
Joon Ho LEE
1
;
Jae Hwa YOO
;
Sung Hwan CHO
;
Sang Hyun KIM
;
Won Seok CHAE
;
Dong Gi LEE
;
Hee Cheol JIN
;
Yong Ik KIM
;
Yoon Woo KOH
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Bucheon, Korea. yikim@schbc.ac.kr
- Publication Type:Original Article
- Keywords:
Anesthetic management;
Cervical plexus block;
Monitored anesthesia care;
Thyroid surgery
- MeSH:
Anesthesia;
Anesthesia, General;
Cervical Plexus;
Epinephrine;
Fentanyl;
Hoarseness;
Humans;
Incidence;
Mepivacaine;
Pain, Postoperative;
Pharyngitis;
Postoperative Nausea and Vomiting;
Propofol;
Thyroid Gland
- From:Korean Journal of Anesthesiology
2009;56(3):284-289
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Thyroid surgery is usually performed under general anesthesia, but thyroid surgery under monitored anesthesia care (MAC) has become re-introduced. We report our experiences of 40 cases of thyroid surgery under MAC. METHODS: Forty patients were enrolled in this study. Bilateral superficial cervical plexus block (BSCPB) was performed by using 1% mepivacaine with 1 : 200,000 epinephrine. After BSCPB, patients were sedated with propofol and fentanyl. Postoperative pain, sore throat, hoarseness, and postoperative nausea and vomiting (PONV) were assessed. RESULTS: Mean postoperative pain VAS were 1.3, 1.2, 1.0, 0.8 and postoperative sore throat VAS 1.4, 1.4, 1.1, 0.9 at PACU (post-anesthesia care unit) and postoperative 3, 6, 12 h, respectively. The incidence of hoarseness was 25, 5, 2.5%, and 0% and PONV were 0, 5, 10%, and 7.5% at PACU and postoperative 3, 6, 12 h, respectively. CONCLUSIONS: Thyroid surgery under MAC may be a suitable alternative to general anesthesia.
