|
KMID : 0356920090560030284
|
|
Korean Journal of Anesthesiology
2009 Volume.56 No. 3 p.284 ~ p.289
|
|
|
Thyroid surgery under monitored anesthesia care (MAC)
|
|
Lee Joon-Ho
Koh Yoon-Woo
Yoo Jae-Hwa
Cho Sung-Hwan
Kim Sang-Hyun
Chai Won-Seok
Jin Hee-Cheol
Kim Yong-Ik
Lee Dong-Gi
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Anesthetic management, Cervical plexus block, Monitored anesthesia care, Thyroid surgery
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|
|