bandage-green

Substernal (Retrosternal) Goiter Thyroidectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head slightly extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Ask Surgeon
Blocks : Superficial Cervical Plexus
Considerations : Arterial line, High Blood Loss, PONV

Anesthetic Approaches

1GETT
2GETT, Mask Induction
3GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Positioning and incision - Supine with the head elevated and the neck extended over a shoulder roll. A transverse cervical (Kocher) incision at the base of the neck, usually longer than for a routine...

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