Total thyroidectomy for giant goiter under local anesthesia and Ketamine in a surgical mission
Name:
1-s2.0-S2210261215000152-main.pdf
Size:
591.9Kb
Format:
PDF
Description:
FInal Published Version
Publisher
ELSEVIER SCI LTDCitation
Total thyroidectomy for giant goiter under local anesthesia and Ketamine in a surgical mission 2015, 8:52 International Journal of Surgery Case ReportsRights
© 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 Information
This 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 repository@u.library.arizona.edu.Abstract
BACKGROUND: 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.ISSN
22102612PubMed ID
25622241Version
Final published versionAdditional Links
http://linkinghub.elsevier.com/retrieve/pii/S2210261215000152ae974a485f413a2113503eed53cd6c53
10.1016/j.ijscr.2015.01.007
Scopus Count
Collections
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/).
Related articles
- 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
- Management of a Long-Standing Huge Goiter During a Humanitarian Mission: A Case Report.
- Authors: Lame CA, Atila M, Dembele B, Obeng MK
- Issue date: 2023 May
- 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