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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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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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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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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

491
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...
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Related Experiment Video

Updated: Jul 31, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Locoregional strategies to decrease postoperative pain and neck discomfort after open thyroidectomy: A scoping

Alvaro Sanabria1,2, Carlos Betancourt2, Carlos Chiesa-Estomba3

  • 1Department of Surgery, Universidad de Antioquia, Medellín, Colombia.

Head & Neck
|May 10, 2023
PubMed
Summary
This summary is machine-generated.

Locoregional interventions effectively manage thyroidectomy pain and discomfort. These methods, including nerve blocks and wound infiltration, reduce opioid use and improve patient recovery.

Keywords:
anestheticsinfiltrationnerve blockingpainthyroid glandthyroidectomy

More Related Videos

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
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Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
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Area of Science:

  • Anesthesiology
  • Surgical Oncology
  • Pain Management

Background:

  • Effective pain control post-thyroidectomy is crucial for patient recovery and quality of life.
  • Current pain management strategies may inadvertently contribute to opioid addiction.
  • Locoregional interventions offer a promising alternative for managing post-thyroidectomy pain.

Purpose of the Study:

  • To conduct a scoping review of evidence evaluating locoregional interventions for pain and neck discomfort after thyroidectomy.
  • To assess the impact of these interventions on postoperative pain and opioid utilization.

Main Methods:

  • A comprehensive search of the Pubmed/MEDLINE and EMBASE databases was performed.
  • Inclusion criteria focused on systematic reviews and randomized controlled trials (RCTs) comparing multiple interventions.
  • Data from 49 publications, encompassing 5045 patients, were analyzed.

Main Results:

  • Topical anesthetic before endotracheal intubation reduced sore throat frequency.
  • Pre-incisional wound infiltration decreased postoperative pain.
  • Bilateral superficial plexus nerve blocks lowered analgesic requirements.
  • Wound massage and neck exercises alleviated postoperative discomfort.

Conclusions:

  • Locoregional interventions significantly reduce postoperative pain and discomfort following thyroidectomy.
  • These techniques have the potential to decrease opioid consumption.
  • Implementing locoregional interventions can lead to improved patient outcomes and a faster return to daily activities.