Graves disease thyroidectomy

loricatus · Feb 21, 2010

hello i am doing a hypothetical case study on a patient with graves disease and hyprethyroidism who will have a thyroidectomy. if you can please answer these questions i would highly appreciate it.
what is commonly given for anesthesia? depends on the anesthesiologist.
what type of intubation is used? orotracheal intubation nasotracheal intubation
what are the pain meds given before and after surgery? anesthesiologist decides if anything is to be given in pre-op & there are usually standing orders (by the anesthesiologist) in the pacu for pain like morphine and fentanyl when is synthroid medication started after surgery? when the pt can start swallowing (but remember that thyroid hormones take time to both lower and raise)thank you so much:d

http://thyroid.about.com/od/thyroiddrugstreatments/a/thyroidsurgery.htm

jusstme · Feb 21, 2010

Thanks for the information

do you think it would be safe to say that the anesthesia used was propofol?

loricatus · Feb 21, 2010

Thanks for the information
do you think it would be safe to say that the anesthesia used was propofol?

Based on my experience in the PACU, I would say no because the other forms of general anesthesia are more easily reversed if the need arises. Propofol was generally reserved for the quicker procedures like EGDs & or spinal injections for pain patients.

Editorial Team / Admin · Feb 21, 2010

Our CRNAs and MDAs use propofol only for induction, in conjunction with succinylcholine/rocuronium/vecuronium, and then switch to inhalational agents (sevoflurane/desflurane) to keep the patient asleep for the surgery.