AIRWAY PATENCY DISTURBANCES CAUSES AFTER THYROID SURGERY
Keywords:
extubation, laryngeal edema, thyroid surgeryAbstract
Purpose — to determine the frequency and causes of the airway patency disorders after extubation. Materials and methods. The clinical control group (n=170) included patients with nodular goiter. The second (main) group (n=125) — patients with multinodular goiter and the third (basic) group (n=105) — patients with thyroid cancer. In patients with thyroid nodules all surgical procedures were performed in a volume hemithyroidectomy (100 %). Operations of choice in patients with multinodular goiter were 40 (32.0 %) — hemithyroidectomy, 47 (37.6 %) — subotatal strumectomy, 38 (30.4 %) — total thyroidectomy. In patients with thyroid cancer was often performed total thyroidectomy — 95 (90.5 %), subtotal strumectomy — 4 (3.8 %), total thyroidectomy with lymph node dissection — 6 (5.7 %). Results. The main cause of respiratory airway obstruction was swelling of the larynx. The impact of severe tracheal intubation, extent of surgery and sex on the incidence of laryngeal edema was significant. Effect of endotracheal tube size and age on the incidence of laryngeal edema was not credible. Conclusion. The frequency of violations of upper airway after extubation was 12.0 %. The causes of violations of upper airway after extubation were: laryngeal edema (5.5 %), damage to the laryngeal nerve (3.0 %), bleeding (1.5 %), laryngospasm (1.3 %) and myasthenic syndrome (0.8 %).
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