An International Journal of Otorhinolaryngology Clinics

Register      Login

VOLUME 6 , ISSUE 2 ( Number, 2014 ) > List of Articles

RESEARCH ARTICLE

Comparison of Cervical Epidural Anesthesia and General Anesthesia for Thyroid Surgery

Shamna Mohammed

Citation Information : Mohammed S. Comparison of Cervical Epidural Anesthesia and General Anesthesia for Thyroid Surgery. Int J Otorhinolaryngol Clin 2014; 6 (2):24-27.

DOI: 10.5005/aijoc-6-2-24

License: CC BY-NC 3.0

Published Online: 01-04-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

National trends are showing statistically significant increase in the thyroid surgeries being performed by otorhinolaryngologist surgeons. There is a rising interest among the otorhinolaryngology surgeons subspecializing in head and neck surgeries to increase the horizons in the advancements in thyroid surgeries. Cervical epidural anesthesia (CEA) for thyroid surgeries is gaining popularity over general anesthesia (GA) for the various advantages it offers.

Objective

This prospective study was designed to evaluate the effectiveness and ease of thyroidectomy under CEA as compared to GA.

Materials and methods

A prospective study of total of 30 patients undergoing thyroid surgery from two teaching hospitals. They were randomly allotted into CEA and GA groups of 15 members each.

Results

In the CEA group, postoperative comfort and economic feasibility were found to be better compared to GA group. The blood volume loss was lesser in the CEA group. The CEA group also offered the added advantage of vocal cord monitoring by voice contact during the surgery. Both the CEA and GA group maintained hemodynamic stability. There were no complications in both the groups.

Conclusion

Even though thyroid surgery is currently being performed mostly under GA, CEA must be considered for thyroid surgeries routinely. CEA offers a number of advantages of GA in selected cases. This study has proved that CEA has distinct advantages over GA in thyroidectomies. Considering the ease and effectiveness of CEA, it is as good as GA, if not better, even in routine thyroidectomies.


PDF Share
  1. The increasing role of otolaryngology in the management of surgical thyroid disorders. Laryngoscope 2013;123(12):3239–3242.
  2. Cervical epidural anesthesia for thyroid surgery. Kathmandu Univ Med J (KUMJ) 2009;7(27):242–245.
  3. Cervical epidural anesthesia for thyroidectomy in a patient with tracheal deviation: a case report. Korean J Anesthesiol 1999;37(1):159–163.
  4. Cervical epidural anesthesia for subtotal thyroidectomy in a patient with aortic incompetence. J Pak Med Assoc 1998;48(9):281–283.
  5. Cervical epidural anesthesia for neck arm and upper thoracic surgery. J Anaesth Clin Pharmacol 2010;26(12):189–192.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.