Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

1.4K
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...
1.4K
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

697
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
697
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

1.3K
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
1.3K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia01:30

Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia

1.9K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
1.9K
General Anesthesia: Overview01:24

General Anesthesia: Overview

627
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...
627
Stages of General Anesthesia01:22

Stages of General Anesthesia

1.6K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
1.6K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Immunogenicity and protective potential of a mucosal protein-only vaccine candidate for tuberculosis.

Frontiers in immunology·2026
Same author

Prognostic characterization of papillary thyroid carcinoma: Insights into the role of PD-L1 and mutational landscape in disease aggressiveness and outcome.

American journal of clinical pathology·2026
Same author

Impact of Rajayoga Meditation on Anxiety, Serum Cortisol, and Hemodynamic Parameters in Patients Undergoing Modified Radical Mastectomy - Prospective Randomized Control Trial.

International journal of yoga·2026
Same author

Five Decades of Innovation-Tailored Breast Cancer Treatment: 1976-2026.

World journal of surgery·2026
Same author

Prognostic Role of Androgen Receptor in Triple-Negative Breast Cancer: A North Indian Tertiary Care Study.

Indian journal of surgical oncology·2026
Same author

Thyroid gland metastasis: A diagnostically challenging entity.

Journal of cancer research and therapeutics·2025
Same journal

Development and Validation of a Comprehensive Obesity Assessment Tool: Integrating Lifestyle, Body Image, and Past Weight Management.

Indian journal of endocrinology and metabolism·2026
Same journal

The Indian Obesity Paradox- Low in Muscle, High in Fat.

Indian journal of endocrinology and metabolism·2026
Same journal

Serial Changes in Thyroid Hormones with Oral or Intravenous Bisphosphonates.

Indian journal of endocrinology and metabolism·2026
Same journal

Role of Serum Triiodothyronine-to-Thyroxine Ratio and Thyroid Colour Flow Doppler in Differentiation of Graves' Disease from Destructive Thyroiditis.

Indian journal of endocrinology and metabolism·2026
Same journal

Efficacy of Fixed Low-Dose Weekly Subcutaneous Testosterone Self-Administration in Transgender Male Patients in India.

Indian journal of endocrinology and metabolism·2026
Same journal

What Works in Type 2 Diabetes: Intermittent Fasting or Calorie Restriction or Both?

Indian journal of endocrinology and metabolism·2026
See all related articles

Related Experiment Video

Updated: Jan 25, 2026

Author Spotlight: Advancing Varicocele Treatment Through Enhanced Surgical Techniques
04:49

Author Spotlight: Advancing Varicocele Treatment Through Enhanced Surgical Techniques

Published on: October 25, 2024

2.9K

Focused Parathyroidectomy Under Local Anesthesia - A Feasibility Study.

Supriya Sen1, Anish Jacob Cherian1, Pooja Ramakant2

  • 1Department of Endocrine Surgery, CMC Hospital, Vellore, Tamil Nadu, India.

Indian Journal of Endocrinology and Metabolism
|April 25, 2019
PubMed
Summary
This summary is machine-generated.

Focused parathyroidectomy under local anesthesia (LA) is feasible and cost-effective. This minimally invasive approach offers high patient satisfaction and excellent cure rates for primary hyperparathyroidism.

Keywords:
Focused parathyroidectomylocal anesthesiaminimally invasive parathyroidectomyprimary hyperparathyroidism

More Related Videos

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

26.1K
Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
03:57

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy

Published on: July 14, 2023

2.3K

Related Experiment Videos

Last Updated: Jan 25, 2026

Author Spotlight: Advancing Varicocele Treatment Through Enhanced Surgical Techniques
04:49

Author Spotlight: Advancing Varicocele Treatment Through Enhanced Surgical Techniques

Published on: October 25, 2024

2.9K
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

26.1K
Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
03:57

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy

Published on: July 14, 2023

2.3K

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Anesthesiology

Background:

  • Primary hyperparathyroidism (PHPT) often requires surgical intervention.
  • Focused parathyroidectomy is a standard treatment for PHPT.
  • Evaluating alternative anesthesia methods is crucial for improving patient outcomes and reducing healthcare costs.

Purpose of the Study:

  • To assess the feasibility of focused parathyroidectomy under local anesthesia (LA) with mild sedation.
  • To evaluate patient satisfaction with the LA approach.
  • To determine the cost-effectiveness of LA compared to general anesthesia (GA).

Main Methods:

  • A prospective observational study involving 30 patients with PHPT.
  • Focused parathyroidectomy was performed under LA and mild sedation.
  • Data collected included operative details, patient-reported outcomes (pain, satisfaction), complications, and costs.

Main Results:

  • The procedure was feasible in most patients, with only 6.7% requiring conversion to GA.
  • High patient satisfaction was reported (75% with LA, 89% with the surgical procedure).
  • LA significantly reduced procedure costs (P = 0.001) and demonstrated a 100% cure rate at 6 months.

Conclusions:

  • Focused parathyroidectomy under LA is a feasible and safe alternative to GA.
  • This approach offers significant cost savings.
  • High patient satisfaction and excellent cure rates support the use of LA for focused parathyroidectomy.