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Related Concept Videos

General Anesthesia: Overview01:24

General Anesthesia: Overview

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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.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Related Experiment Video

Updated: Mar 3, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

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Ambulatory thyroidectomy: an anesthesiologist's perspective.

Benjamin Murray1, Sankalap Tandon2, Ged Dempsey1

  • 1Department of Anaesthesia and Critical Care.

Local and Regional Anesthesia
|April 25, 2017
PubMed
Summary
This summary is machine-generated.

Ambulatory thyroidectomy is safe and cost-effective, with low complication rates when performed by experienced teams. Careful anesthetic management minimizes readmissions for pain and nausea.

Keywords:
ambulatoryday casehemithyroidectomysame daythyroidectomy

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Anesthesiology

Background:

  • Thyroidectomy traditionally performed inpatient due to complication concerns.
  • Postoperative risks include hematoma, nerve injury, and hypocalcemia.

Purpose of the Study:

  • To review evidence on ambulatory thyroidectomy complications.
  • To determine the safety and efficacy of day-case thyroid surgery.

Main Methods:

  • Literature search of Medline, EMBASE, and Cochrane databases.
  • Inclusion of 21 papers detailing 30,453 day-case thyroid procedures.
  • Analysis of complication incidence and cost-effectiveness.

Main Results:

  • Low incidence of permanent vocal cord paralysis (0.02%) and cervical hematoma (0.48%).
  • Temporary hypocalcemia rate of 2.9%, permanent hypocalcemia 1.39%.
  • Ambulatory thyroidectomy demonstrated significant cost savings ($1301 mean).

Conclusions:

  • Ambulatory thyroidectomy is feasible with an acceptable risk profile in experienced hands.
  • Hemithyroidectomies are often suitable for day-case procedures.
  • Balanced anesthesia with adequate analgesia/antiemetics is key to preventing readmissions.