Maya Belitova1, Rumen Pandev2, Dimitar Karadimov1. 1. Department of Anaesthesiology and Intensive Care, University Hospital "Queen Giovanna"-Sofia, Sofia, Bulgaria. 2. Department of One-Day Surgery, University Hospital "Queen Giovanna"-Sofia, Sofia, Bulgaria.
Abstract
OBJECTIVE: We aimed to determine the safety and feasibility of general anaesthesia (GA) compared with local anaesthesia + Monitored Anaesthesia Care (LA+MAC) for One-Day Thyroid Surgery (ODTS); to assess patient and operator satisfaction with either of the anesthetic approaches. MATERIAL AND METHODS: We reviewed prospectively 130 patients who underwent ODTS from 2008 to 2011. 64 patients were operated on under GA and 62 - under LA+MAC. All variables of patient demographic characteristics, duration and type of operation, postoperative complications, difficulty in airway management and postoperative opiate consumption were recorded and analyzed. RESULTS: There is no difference in respect to length of stay, discharge time and major/minor complications rate between two groups, but in the LA+MAC group, pain appears earlier and is more severe (56min; VAS 6, 5) than in GA patients (223 min; VAS 1, 5; p<0.001). Patient satisfaction was similar but the operator preference was greater for GA. CONCLUSION: In experienced hands LA with MAC for Thyroidectomy is a safe and wise choice, but GA is even more so!
OBJECTIVE: We aimed to determine the safety and feasibility of general anaesthesia (GA) compared with local anaesthesia + Monitored Anaesthesia Care (LA+MAC) for One-Day Thyroid Surgery (ODTS); to assess patient and operator satisfaction with either of the anesthetic approaches. MATERIAL AND METHODS: We reviewed prospectively 130 patients who underwent ODTS from 2008 to 2011. 64 patients were operated on under GA and 62 - under LA+MAC. All variables of patient demographic characteristics, duration and type of operation, postoperative complications, difficulty in airway management and postoperative opiate consumption were recorded and analyzed. RESULTS: There is no difference in respect to length of stay, discharge time and major/minor complications rate between two groups, but in the LA+MAC group, pain appears earlier and is more severe (56min; VAS 6, 5) than in GA patients (223 min; VAS 1, 5; p<0.001). Patient satisfaction was similar but the operator preference was greater for GA. CONCLUSION: In experienced hands LA with MAC for Thyroidectomy is a safe and wise choice, but GA is even more so!
Entities:
Keywords:
MAC; One-day thyroid surgery; complications; general anaesthesia; local anaesthesia
Authors: G Materazzi; G Dionigi; P Berti; R Rago; G Frustaci; G Docimo; M Puccini; P Miccoli Journal: Eur Surg Res Date: 2007-03-16 Impact factor: 1.745
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