Anaesthetic management of transoral endoscopic thyroidectomy. A case report
| Autor: | J.L. López-Romero, I. Benítez-Linero, M. Bermúdez-Triano, G. Fernández-Castellano, Rosana Guerrero-Domínguez |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Anaesthetic management
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Thyroidectomy 030209 endocrinology & metabolism General Medicine Electromyography Surgery 03 medical and health sciences Dissection 0302 clinical medicine Muscle relaxation 030220 oncology & carcinogenesis Bispectral index Endoscopic thyroidectomy Recurrent laryngeal nerve medicine business |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 68:149-152 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2021.03.001 |
| Popis: | Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel and minimally invasive procedure, free of visible scars and showing encouraging results in terms of rapid recovery and less postoperative pain. It consists of performing the thyroidectomy through its natural orifice, using three ports in the oral vestibular area and carrying out a careful dissection to the sternal notch and the edges of both sternocleidomastoid muscles. The objective of this article is to describe the different anesthetic implications that this surgical technique entails, given that the evidence published to date in the literature is very limited. It is considered essential to control the recurrent laryngeal nerve using an endotracheal tube with electromyography to ensure its identification and integrity, as well as the use of other monitors such as the TOF watch or the bispectral index to ensure adequate anesthetic depth and an optimal level of muscle relaxation. |
| Databáze: | OpenAIRE |
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