Abstract
Thyroidectomy is a common surgery to treat various conditions of the thyroid gland, including cancer, goiter and hyperthyroidism. General anesthesia is often used to ensure the procedure is carried out safely and effectively. This study examines the importance of intraoperative monitoring and management during thyroidectomy, highlighting best practices and the most advanced technologies to minimize complications and optimize surgical outcomes. Objective: Investigate and improve anesthetic practices to increase the safety and effectiveness of thyroidectomies. Methodology: The Cochrane, Scielo and Pubmed databases were used, searching for articles published between 2019 and 2021, in Portuguese or English. Final Considerations: General anesthesia during thyroidectomies, combined with adequate intraoperative monitoring and management, is crucial to ensure the safety and success of the surgery. Therefore, advanced monitoring techniques and careful airway management are essential to minimize risks and complications. Thus, interdisciplinary collaboration and continuous training of the professionals involved are fundamental to improving anesthetic practices and, thus, improving clinical results and patient well-being.
References
Accetta P, Accetta I, Accetta AC, Araújo MS de, Accetta R, Campos KB. Tireoidectomia total nas doenças benignas da tireóide. Revista do Colégio Brasileiro de Cirurgiões. 2011 Aug;38(4):223–6.
Boni CLA. Avaliação da eficácia analgésica pós-operatória do bloqueio cervical superficial bilateral para tireoidectomia total por mini-incisão, realizada sob anestesia geral balanceada: estudo aleatório, encoberto, placebo controlado [Internet]. bdtd.ibict.br. 2012 [cited 2024 Fev 5]. Available from: https://bdtd.ibict.br/vufind/Record/UFMG_ab323844a6337f00be8d82200e6d7aeb
Carlos José Soares, José Vicente Tagliarini, Ferreira M. Preoperative vitamin D level as a post-total thyroidectomy hypocalcemia predictor: a prospective study. 2021 Jan 1;87(1):85–9.
Fraga TS, Köhler HF, Chulam TC, Kowalski LP. Impacto do tipo de bisturi no tempo operatório e complicações agudas em tireoidectomias. Brazilian Journal of Otorhinolaryngology [Internet]. 2021 Fev 24 [cited 2023 Jan 7];87:205–9. Available from: https://www.scielo.br/j/bjorl/a/rdmHjT6d5qj6QwWrBgfvH5z/#:~:text=Em%20cirurgia%20de%20cabe%C3%A7a%20e
Friguglietti CUM, Lin C, Kulcsar MAV. Tireoidectomia total para bócio multinodular. Arquivos Brasileiros de Endocrinologia & Metabologia [Internet]. 2003 Oct 1 [cited 2022 Nov 17];47:558–65. Available from: https://www.scielo.br/j/abem/a/ZLgKSZP9b8CTmF57HWMG9Lb/abstract/?lang=pt
Jo JY, Kim YJ, Choi SS, Park J, Park H, Hahm KD. A Prospective Randomized Comparison of Postoperative Pain and Complications after Thyroidectomy under Different Anesthetic Techniques: Volatile Anesthesia versus Total Intravenous Anesthesia. banik R, editor. Pain Research and Management. 2021 Feb 2;2021:1–7.
Karakış A, Tapar H, Özsoy Z, Suren M, Dogru S, Karaman T, et al. Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial. Brazilian Journal of Anesthesiology (English Edition). 2019 Sep;69(5):455–60.
Li X, Zhang B, Yu L, Yang J, Tan H. Influence of Sevoflurane-Based Anesthesia versus Total Intravenous Anesthesia on Intraoperative Neuromonitoring during Thyroidectomy. Otolaryngology–Head and Neck Surgery. 2020 Mar 17;162(6):853–9.
Mamede RCM, Raful H. Comparação da anestesia geral e bloqueio do plexo cervical superficial em tireoidectomias parciais. Revista Brasileira de Otorrinolaringologia. 2008 Feb;74(1):99–105.
Possebon Berlesi1 F, Bohnenberger1 G, Leonardo, Machado1 N, Paula, Ojeda1 S, et al. Abordagem cirúrgica dos nódulos de tireoide Surgical approach of thyroid nodules [Internet]. [cited 2024 Fev 5]. Available from: https://fi-admin.bvsalud.org/document/view/gkcga

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Copyright (c) 2024 Danillo Pedro Mendes da Silva , Alexandre Neves Reis Araújo e Silva , Júlio Luiz Araújo Silva Júnior, Maria Luísa Pereira Neves , Paula Lazzari Branquinho, Malu Ribeiro Ferraz , Maria Silvia do Vale Senedese , Leandro Aparecido Irrazabal , Ana Clara Andrade Noronha Santos , Ana Paula da Silva Mendes , Giovanna Gali Silva Kassawara , Natalia Sampaio Freitas , Anelise Piton