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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
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Related Experiment Video

Updated: Jul 3, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Published on: September 15, 2023

Thyroidectomy under local anaesthesia: how safe?

M A Misauno1, M G Yilkudi, A L Akwaras

  • 1Department of Surgery, Jos University Teaching Hospital, Abuja. micoyedim@yahoo.co.uk

Nigerian Journal of Clinical Practice
|August 12, 2008
PubMed
Summary
This summary is machine-generated.

Thyroidectomy using local anesthesia is safe in rural Nigerian outreach settings. This study found low morbidity (6%) with no mortality in 33 patients, demonstrating the procedure

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Area of Science:

  • Surgical Procedures
  • Anesthesiology
  • Global Health

Background:

  • Non-governmental organizations (NGOs) supplement limited rural Nigerian healthcare with outreach camps.
  • These camps offer diverse surgical specialties.
  • Addressing healthcare disparities in underserved regions is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of thyroidectomy performed under local anesthesia.
  • To evaluate this surgical approach in resource-limited rural settings.
  • To provide surgical services where general anesthesia facilities are inadequate.

Main Methods:

  • A prospective descriptive study of 33 thyroidectomy cases.
  • Procedures performed during free medical outreaches in Jos, Nigeria.
  • Local anesthesia utilized field block with 1% lignocaine and adrenaline.

Main Results:

  • 33 thyroidectomies completed: 30 subtotal, 2 lobectomies, 1 total.
  • Patient age range: 23-62 years (mean 45.8).
  • Low morbidity (6%) with superficial surgical site infection and reactionary hemorrhage as complications; no mortality.

Conclusions:

  • Thyroidectomy under local anesthesia is a safe and viable option in rural areas.
  • Experienced surgical teams can successfully perform thyroidectomies with limited resources.
  • Outreach programs can effectively deliver essential surgical care to remote populations.