Anesthetic management for endoscopic surgery in two patients with goiter

T. Suzuki, T. Yamada, R. Ochiai, J. Takeda

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report anesthetic experience of two patients for endoscopic removal of thyroid tumor by new surgical approach. A subplatysmal air pocket, which had been created by using a subcutaneous dissector, was maintained by insufflating carbon dioxide (CO2) at an insufflation pressure of 6 mmHg. In one patient, the arterial CO2 pressure increased from 29 mmHg to 44 mmHg, and in another patient from 31 mmHg to 36 mmHg. We did not experience any symptoms of sustained CO2 absorption such as severe hypercarbia, acidosis, and massive subcutaneous emphysema. The patients were discharged on the fifth and the fourth postoperative day with no complications. The advantages of this endoscopic surgery include little postoperative pain, quick recovery, and short hospital stay after operation. However, possible occurrence of intraoperative hypercarbia during endoscopic surgery must be considered, and continuous monitoring of ventilation by end-tidal CO2 or arterial CO2 pressure is mandatory.

Original languageEnglish
Pages (from-to)896-898
Number of pages3
JournalJapanese Journal of Anesthesiology
Volume49
Issue number8
Publication statusPublished - 2000 Sep 14

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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