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Korean J Anesthesiol > Volume 56(3); 2009 > Article
Korean Journal of Anesthesiology 2009;56(3):284-289.
DOI: https://doi.org/10.4097/kjae.2009.56.3.284   
Thyroid surgery under monitored anesthesia care (MAC).
Joon Ho Lee, Jae Hwa Yoo, Sung Hwan Cho, Sang Hyun Kim, Won Seok Chae, Dong Gi Lee, Hee Cheol Jin, Yong Ik Kim, Yoon Woo Koh
1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Bucheon, Korea. yikim@schbc.ac.kr
2Department of Anesthesiology and Pain Medicine, Soonchunhyang University Hospital, Gumi, Korea.
3Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University Hospital, Bucheon, Korea.
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.
Key Words: Anesthetic management; Cervical plexus block; Monitored anesthesia care; Thyroid surgery
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