[Thyroid surgery in local anesthesia: renewal of an old method].

Magyar onkologia Pub Date : 2025-03-21 Epub Date: 2025-01-20

Bernadett Lévay, Beáta Sántha, Alexandra Kiss, Mónika Révész, Balázs Kovács, Ákos Both, Ferenc Zelenai, Ferenc Oberna

{"title":"[Thyroid surgery in local anesthesia: renewal of an old method].","authors":"Bernadett Lévay, Beáta Sántha, Alexandra Kiss, Mónika Révész, Balázs Kovács, Ákos Both, Ferenc Zelenai, Ferenc Oberna","doi":"","DOIUrl":null,"url":null,"abstract":"Aim: Before the introduction of general anesthesia, thyroid operations were performed under local anesthesia. With the development of anesthesia, surgeons preferred to operate in narcosis. Nowadays regional anesthesia has become popular leading to faster recovery.Methods: At the Multidisciplinary Head and Neck Cancer Center of our institute, between May 2019 and October 2024, 11 patients were treated in regional anesthesia with the blockage of the superficial branches of the cervical plexus, followed by an ultrasound-guided thyroid capsule sheath space block. Patients were previously given 2 mg of i.v. midazolam, in case of need 50 μg of i.v. fentanyl under hemodynamic monitoring.Results: One patient had transient Horner's syndrome, one patient suffered from transient left shoulder numbness. The average operating time was 42.7 minutes (25-80 minutes). The incidence of postoperative pain, nausea and vomiting were reduced.Conclusions: Regional nerve block anesthesia as an alternative of narcosis can be used in thyroid surgery, offering several advantages.","PeriodicalId":94127,"journal":{"name":"Magyar onkologia","volume":"69 1","pages":"73-76"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Magyar onkologia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/20 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: Before the introduction of general anesthesia, thyroid operations were performed under local anesthesia. With the development of anesthesia, surgeons preferred to operate in narcosis. Nowadays regional anesthesia has become popular leading to faster recovery.

Methods: At the Multidisciplinary Head and Neck Cancer Center of our institute, between May 2019 and October 2024, 11 patients were treated in regional anesthesia with the blockage of the superficial branches of the cervical plexus, followed by an ultrasound-guided thyroid capsule sheath space block. Patients were previously given 2 mg of i.v. midazolam, in case of need 50 μg of i.v. fentanyl under hemodynamic monitoring.

Results: One patient had transient Horner's syndrome, one patient suffered from transient left shoulder numbness. The average operating time was 42.7 minutes (25-80 minutes). The incidence of postoperative pain, nausea and vomiting were reduced.

Conclusions: Regional nerve block anesthesia as an alternative of narcosis can be used in thyroid surgery, offering several advantages.

本刊更多论文

目的：在引入全身麻醉之前，甲状腺手术都是在局部麻醉下进行的。随着麻醉技术的发展，外科医生更倾向于在麻醉状态下进行手术。如今，区域麻醉已成为一种流行的麻醉方式，可使患者更快地恢复：我院头颈部肿瘤多学科中心在2019年5月至2024年10月期间，对11例患者进行了区域麻醉，阻断颈丛浅支，然后在超声引导下进行甲状腺囊鞘间隙阻滞。患者之前接受了2毫克咪达唑仑静脉注射，需要时在血流动力学监测下接受50微克芬太尼静脉注射：一名患者出现一过性霍纳综合征，一名患者出现一过性左肩麻木。平均手术时间为 42.7 分钟（25-80 分钟）。术后疼痛、恶心和呕吐的发生率降低：结论：区域神经阻滞麻醉可作为麻醉的替代方法用于甲状腺手术，具有多种优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Magyar onkologia

自引率

0.00%

发文量