文章基本信息
- 标题：Thyroid surgery under monitored anesthesia care (MAC)
- 本地全文：下载
- 作者：Lee, Joon Ho ; Yoo, Jae Hwa ; Cho, Sung Hwan 等
- 期刊名称：Korean Journal of Anesthesiology
- 印刷版ISSN：2005-6419
- 出版年度：2009
- 卷号：56
- 期号：3
- 页码：284-289
- DOI：10.4097/kjae.2009.56.3.284
- 语种：Korean
- 出版社：The Korean Society of Anesthesiologists,
- 摘要：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.
MethodsForty 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.
ResultsMean 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.
ConclusionsThyroid surgery under MAC may be a suitable alternative to general anesthesia.
- 关键词：Anesthetic management; Cervical plexus block; monitored anesthesia care; Thyroid surgery
