Minimally invasive parathyroidectomy using cervical block: reasons for conversion to general anesthesia

Archives of Surgery
Tobias CarlingRobert Udelsman

Abstract

We investigated the frequency and reasons for conversion from cervical block anesthesia to general anesthesia (GA) in patients undergoing minimally invasive parathyroidectomy for primary hyperparathyroidism. Prospective case series. Tertiary university hospital. A total of 441 consecutive patients with primary hyperparathyroidism undergoing minimally invasive parathyroidectomy under cervical block and monitored anesthesia care using midazolam and narcotics were included. Patients with known multiglandular, familial, or secondary hyperparathyroidism or noninformative preoperative localization or those electing minimally invasive parathyroidectomy under GA were excluded. All patients underwent cervical block anesthesia and focused exploration using minimally invasive techniques. Intraoperative need for conversion from cervical block anesthesia to general endotracheal anesthesia. Of the 441 patients, 47 (10.6%) required conversion to GA. In all instances, conversion was performed in a controlled fashion using neuromuscular blockade, endotracheal intubation, and maintenance of the original surgical field preparation. Sixteen procedures were converted to accomplish simultaneous thyroid resections. An additional 15 were converted bec...Continue Reading

Citations

Oct 18, 2008·Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine·Benjamin L Judson, Ashok R Shaha
Jul 13, 2011·International Journal of Endocrinology·Lee F StarkerRobert Udelsman
Apr 9, 2008·World Journal of Surgery·Tobias Carling, Robert Udelsman
Nov 3, 2010·World Journal of Surgery·Lee F StarkerRobert Udelsman
Aug 6, 2011·Clinical and Experimental Nephrology·Hirotaka KomabaMasafumi Fukagawa
Dec 25, 2010·Annals of Surgical Oncology·Lee F StarkerTobias Carling
Jun 28, 2012·International Journal of Endocrinology·Chiara DobrinjaNicolò de Manzini
Sep 1, 2014·British Journal of Anaesthesia·M D StonehamJ Mason
Jan 31, 2017·Endocrinology and Metabolism Clinics of North America·Kyle A Zanocco, Michael W Yeh
Nov 29, 2007·Current Opinion in Oncology·Steven E RodgersCarmen C Solórzano
Dec 25, 2012·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Shehanaz EllikaHoria Marin
Apr 15, 2017·Surgical Endoscopy·Thanyawat Sasanakietkul, Tobias Carling
Apr 27, 2018·World Journal of Surgery·Carolyn D SeibEmily Finlayson
Jul 11, 2007·Current Opinion in Anaesthesiology
Aug 10, 2012·Advances in Surgery·John W Kunstman, Robert Udelsman

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