Hypnosis and superficial cervical anesthesia for total thyroidectomy in a high-risk patient - A case report.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_22F259226345
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Hypnosis and superficial cervical anesthesia for total thyroidectomy in a high-risk patient - A case report.
Journal
International journal of surgery case reports
Author(s)
Makovac P., Potié A., Roukain A., Pucci L., Rutz T., Kopp P.A., Matter M.
ISSN
2210-2612 (Print)
ISSN-L
2210-2612
Publication state
Published
Issued date
06/06/2020
Peer-reviewed
Oui
Volume
72
Pages
133-136
Language
english
Notes
Publication types: Case Reports
Publication Status: aheadofprint
Abstract
Total thyroidectomy can be challenging in high-risk patients. Local cervical anesthesia with sedation is an alternative to general anesthesia.
A 33-year old male patient with cyanotic congenital heart disease due to unrepaired tricuspid atresia type Ic and associated pulmonary arterial hypertension presented with tachycardic atrial fibrillation and amiodarone-induced thyrotoxicosis resulting in recurrent hemodynamic instability. Because of difficulties controlling the thyrotoxic state, the indication for total thyroidectomy was established. Total thyroidectomy was subsequently performed using local anesthesia combined using a hypnosis-analgesia technique instead of intravenous sedation. The intervention and the post-operative course were uneventful.
A well-established therapist-patient relationship is crucial for a successful induction of hypnosis. Patient motivation and expectations are equally important for a successful implementation of this approach.
We conclude that hypnosis combined with local anesthesia provides an effective alternative in selected patients with very high anesthesiological risk.
Keywords
Hypnosis, Superficial anesthesia, Thyroidectomy
Pubmed
Open Access
Yes
Create date
25/06/2020 14:34
Last modification date
28/12/2020 7:08
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