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Anesthesiologists may pick
between TIVA and VA as per the level of technical expertise and accessibility
of resources in the case of minor thyroidectomy.
More rescue analgesics are needed for proper pain relief in patients undergoing surgical removal of all or part of the thyroid gland under total intravenous anesthesia as compared to volatile anesthesia, study in Hindawi- Pain Research and Management illustrated.
The efficacy of different anesthetic pain relief options for instant postoperative period after thyroidectomy has been explored in this study by Jun-Young Jo et al.
Total 72 patients experiencing total thyroidectomy under general anesthesia were divided into 2 groups as:
Remifentanil was administered as dose of 1977.7 ± 722.5 μg in the TIVA group, which was about 0.268 ± 0.118 μg/min/kg in surgery. Need for rescue analgesics and pain intensity over time were compared amongst the TIVA and VA groups at the PACU (postoperative anesthetic care unit), Figure 1:
Likewise, the morphine
equianalgesic doses after the surgery in the PACU were greater in the TIVA
group as compared to VA group (16.7 ± 3.8 mg vs. 14.1 ± 5.9 mg). No significant
difference was observed concerning instant post-anesthetic issues.
Hindawi
A Prospective Randomized Comparison of Postoperative Pain and Complications after Thyroidectomy under Different Anesthetic Techniques: Volatile Anesthesia versus Total Intravenous Anesthesia
Jun-Young Jo et al.
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