Perioperative Analgesia for Thyroid and Parathyroid Surgery: A Review of Current Practices

Vaninder K Dhillon; Babak Jahan-Parwar; David S Cohen

doi:10.1016/j.otc.2020.05.007

Perioperative Analgesia for Thyroid and Parathyroid Surgery: A Review of Current Practices

Otolaryngol Clin North Am. 2020 Oct;53(5):779-787. doi: 10.1016/j.otc.2020.05.007. Epub 2020 Jul 1.

Authors

Vaninder K Dhillon¹, Babak Jahan-Parwar², David S Cohen³

Affiliations

¹ Department of Otolaryngology, Johns Hopkins University, 6420 Rockledge Drive, Suite 4920, Bethesda, MD 20817, USA. Electronic address: [email protected].
² Department of Head and Neck Surgery, Southern California Permanente Medical Group, 1101 Baldwin Park Boulevard, Baldwin Park, CA 91706, USA.
³ Department of Head and Neck Surgery, Southern California Permanente Medical Group, 25825 South Vermont Avenue, 3rd Floor Parkview Building, Harbor City, CA 90710, USA.

PMID: 32622549
DOI: 10.1016/j.otc.2020.05.007

Abstract

This article discusses the algorithms and published practice patterns on perioperative analgesia for thyroid and parathyroid surgery. This includes medications and techniques used for general anesthesia, local anesthesia including nerve block methods, and oral medication used for postoperative pain control. The authors also discuss multimodality pain control and the increased trend to reduce opioid analgesics without inadequate pain control or patient satisfaction.

Keywords: ERAS; General anesthesia; Local anesthesia; NSAIDS; Nerve block; Pain control; Parathyroid surgery; Thyroid surgery.

Publication types

Review

MeSH terms

Analgesics, Opioid / administration & dosage
Anesthetics, Local / administration & dosage
Humans
Nerve Block
Pain Management / methods*
Pain, Postoperative / drug therapy
Parathyroid Glands / surgery*
Perioperative Care / methods*
Thyroid Gland / surgery*

Substances

Analgesics, Opioid
Anesthetics, Local