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Anesthetic Considerations for treatment in patients undergoing thyroidectomy transoral

Abstract:

Anesthesia for transoral thyroidectomy in adults begins with preoperative evaluation of the thyroid gland status, local repercussion of thyroid pathology on the airway, and risks related to patient characteristics. Surgery of the thyroid gland is not considered a surgical emergency, so it is necessary to achieve a euthyroid state before surgery. To avoid the thyrotoxic crisis, on the one hand, hormonal synthesis is blocked with synthetic antithyroid drugs and on the other, the central and peripheral effects of thyroid hormones with beta-blockers are reduced. The technique of choice is balanced general or intravenous total anesthesia. Postoperative care should be sought to investigate the possible presence of hemorrhagic complications that may compromise the vital prognosis and lesions of the elements in contact with the gland, such as the parathyroid glands and recurrent nerves. Anesthesia care of the patient undergoing transoral thyroidectomy does not differ from the other minimally invasive thyroid surgical techniques.