GET THE APP

Cervical epidural anesthesia for large goiter with tracheal | 96994

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Cervical epidural anesthesia for large goiter with tracheal deviation

Author(s): Ali M Hasan Altaiey*

Abstract

Background: Cervical epidural anesthesia is a regional anesthesia technique which has been used for upper limb surgery, upper thoracic wall surgery, carotid artery surgery and neck dissections. Anesthesia for thyroid surgery can be complicated due to the altered functional status of the thyroid or its large size. Objective: This prospective study was designed to assess the effectiveness and safety of cervical epidural anesthesia for thyroid surgery. Materials and methods: Cervical epidural anesthesia was attempted in 75 years old female patient with long past history of smoking. The epidural catheter was placed in the C7 – T1 vertebral interspace and 10 – 15 ml of 1% Lignocaine and 0.25 Bupivacaine with adrenaline was injected. Results: The technique of cervical epidural anesthesia was successfully used in our patient in whom it was attempted. Patient was maintained in a state of conscious – sedation and effective analgesia was obtained our patient. There were no significant complications especially those related to diaphragmatic function and cardiovascular stability. In contrast patients undergoing surgery under conventional general anesthesia had complications related to endotracheal intubation, cardiac arrhythmias and hypotension Conclusion: The technique of cervical epidural anesthesia should be considered in thyroid patients where difficult endotracheal intubation is anticipated and in those in whom alterations in thyroid functional state make them vulnerable to cardiovascular complications under conventional general anesthesia.

Share this article

http://sacs17.amberton.edu/