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Risk factors in perioperative anesthesia management in multiple thyroid nodule surgery

  • Steven Steven ,


Introduction: Thyroid nodules are the most common endocrine disorders (endocrine neoplasms). Conducting regular physical examinations in risk factors of thyroid nodules is essential. This case report aims to describe how multiple thyroid nodules could be why muscle relaxant administration was repeated in this patient in a short time.

Case Presentation: A 39 years old female, with clinical complaints of a lump in her neck. Right colli anterior region, fine needle aspiration biopsy (FNAB) gives a result the impression of cytomorphological picture is suspicious for papillary thyroid carcinoma. And the thyroid ultrasound examination results found the Impression of Single solid nodule with calcification on the right thyroid, multiple cystic nodules on the left thyroid, and bilateral multiple non-specific colli lymphadenopathy. The patient underwent total thyroidectomy, using General Anesthesia, with the muscle relaxant used, namely rocuronium, which was then carried out with a maintenance dose 3 times intraoperatively because the patient's spontaneous breathing returned while the operation was still in progress, after which the patient was transferred to the recovery room for post-operative monitoring.

Conclusion: Multiple thyroid nodules could be the reason why muscle relaxant (rocuronium) administration was repeated in this patient in a short time.


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How to Cite

Steven, S. (2024). Risk factors in perioperative anesthesia management in multiple thyroid nodule surgery. Intisari Sains Medis, 15(1), 291–293.




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