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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Awareness during total intravenous anesthesia for endoscopic thyroidectomy: A case report
1Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. gil519.kim@samsung.com.
Korean Journal of Anesthesiology
|January 11, 2019
Summary
Intraoperative awareness occurred during endoscopic thyroidectomy despite adequate total intravenous anesthesia. This case highlights potential risks even with proper anesthetic delivery and monitoring.
Area of Science:
- Anesthesiology
- Surgical Oncology
Background:
- Endoscopic thyroidectomy is a minimally invasive surgical technique.
- Total intravenous anesthesia (TIVA) is commonly used for such procedures.
Purpose of the Study:
- To report a rare case of intraoperative awareness during TIVA for endoscopic thyroidectomy.
- To discuss the implications of anesthetic monitoring and patient recall.
Main Methods:
- A case report of a 24-year-old woman undergoing endoscopic thyroidectomy.
- Utilized total intravenous anesthesia (TIVA) with standard monitoring.
- Assessed patient recall and pain post-operatively.
Main Results:
- The patient reported experiencing intraoperative awareness with vague auditory recall.
- She also experienced some pain at the incision site.
- Anesthetic drug delivery and the drug delivery system were confirmed to be adequate.
Conclusions:
- Intraoperative awareness can occur even with seemingly adequate TIVA.
- This case underscores the importance of vigilant anesthetic monitoring and patient-centered care during minimally invasive surgeries.
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