Article ; Online: Anaesthetic management of transoral endoscopic thyroidectomy. A case report.
Revista espanola de anestesiologia y reanimacion
2020 Volume 68, Issue 3, Page(s) 149–152
Abstract: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel and minimally invasive procedure, free of visible scars and showing encouraging results in terms of rapid recovery and less postoperative pain. It consists of performing the ... ...
Title translation | Manejo anestésico de la tiroidectomía endoscópica transoral. Reporte de un caso. |
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Abstract | Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel and minimally invasive procedure, free of visible scars and showing encouraging results in terms of rapid recovery and less postoperative pain. It consists of performing the thyroidectomy through its natural orifice, using three ports in the oral vestibular area and carrying out a careful dissection to the sternal notch and the edges of both sternocleidomastoid muscles. The objective of this article is to describe the different anesthetic implications that this surgical technique entails, given that the evidence published to date in the literature is very limited. It is considered essential to control the recurrent laryngeal nerve using an endotracheal tube with electromyography to ensure its identification and integrity, as well as the use of other monitors such as the TOF watch or the bispectral index to ensure adequate anesthetic depth and an optimal level of muscle relaxation. |
MeSH term(s) | Anesthetics ; Endoscopy ; Humans ; Recurrent Laryngeal Nerve ; Recurrent Laryngeal Nerve Injuries ; Thyroidectomy |
Chemical Substances | Anesthetics |
Language | Spanish |
Publishing date | 2020-07-01 |
Publishing country | Spain |
Document type | Case Reports |
ISSN | 2341-1929 |
ISSN (online) | 2341-1929 |
DOI | 10.1016/j.redar.2020.01.018 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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