Total thyroidectomy for giant goiter under local anesthesia and Ketamine in a surgical mission
AffiliationUniv Arizona, Dept Surg
MetadataShow full item record
PublisherELSEVIER SCI LTD
CitationTotal thyroidectomy for giant goiter under local anesthesia and Ketamine in a surgical mission 2015, 8:52 International Journal of Surgery Case Reports
Rights© 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractBACKGROUND: Operation Giving Back (OGB) of the American College of Surgeons (ACS) and various other surgical missions in the developing world have become more popular and provide a valuable way of reducing the surgical burden worldwide. While most cases are "bread and butter" general surgery, difficult surgeries are often encountered. MATERIALS AND METHODS: Description of a total thyroidectomy for super giant goiter extending to chest inferiorly, lateral neck and behind both ears, compressing the trachea and causing chronic difficulties breathing. The surgical team was unable to intubate, but performed surgery under local anesthesia and sedation with Ketamine injection. RESULTS: Total thyroidectomy, as a life-saving procedure, was performed under local anesthesia and Ketamine with mild sedation. Once thyroid was removed, the outside diameter of trachea was assessed to be 4mm. Patient tolerated the procedure well and had no postoperative complication. Her breathing improved significantly post-operatively. Five years later, she is doing well. CONCLUSION: Total thyroidectomy for giant goiters can be done under local anesthesia with Ketamine and proper sedation. Surgeons and anesthesiologists participating in surgical missions may have to perform major surgery under local anesthesia. (C) 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd.
VersionFinal published version
Except where otherwise noted, this item's license is described as © 2015 The Authors. Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
- Robotic total thyroidectomy with modified radical neck dissection via unilateral retroauricular approach.
- Authors: Byeon HK, Holsinger FC, Tufano RP, Chung HJ, Kim WS, Koh YW, Choi EC
- Issue date: 2014 Nov
- Robot-assisted Sistrunk's operation, total thyroidectomy, and neck dissection via a transaxillary and retroauricular (TARA) approach in papillary carcinoma arising in thyroglossal duct cyst and thyroid gland.
- Authors: Byeon HK, Ban MJ, Lee JM, Ha JG, Kim ES, Koh YW, Choi EC
- Issue date: 2012 Dec
- [Anesthesia in a Patient with Giant Goiter in Whom Tracheotomy Was Performed with Standby of Percutaneous Cardiopulmonary Support].
- Authors: Ishikawa T, Shin Y, Mieda H, Kawanoue N, Ishii M, Iwasaki E, Kobayashi H, Oku S, Mikane T, Tokioka H
- Issue date: 2016 Jan
- Local anesthesia in thyroid surgery--own experience and literature review.
- Authors: Banasiewicz T, Meissner W, Pyda P, Wierzbicki T, Biczysko M, Głyda M, Iwanik K, Drews M
- Issue date: 2011 May
- Outcomes of 1,327 patients operated on through twelve multispecialty surgical volunteerism missions: A retrospective cohort study.
- Authors: Latifi R, Rivera R, Gachabayov M, Borja Chiong MM, Noyes RD, Kleinmann M, Baluyot FS, Tilley E, Samson D, El-Menyar A
- Issue date: 2018 Dec