Monographic Research · Anesthesia Management Under the Concept of Enhanced Recovery After Surgery
The application of enhanced recovery after surgery in perioperative management of thyroid ambulatory surgery
Jiang Yuan, Wang Yunjiao, Wang Ximei, Li Jingyi, Zhu Xiaoyan, Guo Qulian, Cheng Zhigang
Published 2022-06-20
Cite as J Chin Physician, 2022, 24(6): 819-822. DOI: 10.3760/cma.j.cn431274-20220524-00496
Abstract
ObjectiveThrough retrospective analysis of perioperative management data of ambulatory thyroid surgery under the concept of enhanced recovery after surgery (ERAS), we provide foundation for the safe implementation of ambulatory thyroid surgery.
MethodsFrom January 2019 to December 2019, patients undergoing thyroid surgery were enrolled in the study under the concept of ERAS at the ambulatory surgery center of Xiangya Hospital, Central South University. Data of patients during perioperative period were collected, including adverse events, anesthesia recovery, postoperative and post-discharge recovery were recorded.
ResultsThis study was included 703 cases of patients, thyroid nodules in 374 cases, thyroid malignant tumor in 329 cases. There were no significance difference in the operation time, anesthesia time, wake up of time, and postanesthesia care unit (PACU) time between the two groups (all P>0.05). No hypertension, hypotension, tachycardia, bradycardia or other arrhythmias occurred during perioperative period. No adverse events such as intraoperative awareness and delay of wake up occurred. No severe pain, nausea, vomiting, dizziness and other discomfort occurred after surgery. All 703 patients were discharged from hospital within 24 hours.
ConclusionsAnesthesiologists participate in patient management according to the perioperative medicine requirements, and ambulatory thyroid surgery may be performed safely under the concept of ERAS.
Key words:
Thyroid diseases; Ambulatory surgery; Enhanced recovery after surgery; Perioperative period
Contributor Information
Jiang Yuan
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Wang Yunjiao
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Wang Ximei
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Li Jingyi
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Zhu Xiaoyan
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Guo Qulian
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
Cheng Zhigang
Department of Anesthesiology and Critical Care Medicine, Xiangya Hospital, Central South University, Changsha 410008, China
