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Cervical block anesthesia in thyroidectomy.

F H Fernandez

    International Surgery
    |October 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Cervical block anesthesia was safely used for thyroid surgery in 716 patients between 1956 and 1981. This anesthesia method resulted in few minor complications, demonstrating its safety for thyroidectomies.

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    Area of Science:

    • Anesthesiology
    • Endocrine Surgery
    • Thyroidology

    Background:

    • Thyroid gland conditions necessitate surgical intervention.
    • Anesthesia choice is critical for patient safety during thyroidectomy.
    • Cervical block anesthesia has been utilized for thyroid surgical procedures.

    Purpose of the Study:

    • To evaluate the safety and efficacy of cervical block anesthesia in patients undergoing thyroid surgery.
    • To assess the complication rates associated with cervical block anesthesia in this patient cohort.

    Main Methods:

    • A retrospective review of 716 patients who underwent thyroid surgery between 1956 and 1981.
    • Analysis of surgical procedures performed, including lobectomy, subtotal thyroidectomy, and bilateral subtotal thyroidectomy.

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  • Documentation of anesthesia type, with a focus on cervical block anesthesia (433 cases).
  • Recording and categorization of all observed complications.

    • Main Results:

    • Cervical block anesthesia was administered to 60.0% (433/716) of patients.
    • The most common procedures were subtotal and bilateral subtotal thyroidectomies.
    • Minor complications (hoarseness, injection site swelling/hematoma) occurred in 6.2% (27/433) of cases receiving cervical block anesthesia.
    • No mortality or serious adverse events were attributed to cervical block anesthesia.

    Conclusions:

    • Cervical block anesthesia is a safe and effective anesthetic technique for thyroid surgery.
    • The complication profile associated with cervical block anesthesia in this study is favorable.
    • This historical data supports the continued consideration of cervical block anesthesia for thyroidectomies.