Health Condition 1: E049- Nontoxic goiter, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults between age 18 and 75 years of age 2. American Society of Anesthesiologists physical status I and II 3. Scheduled to undergo total or near total thyroidectomy
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Patients undergoing radical neck dissection. 3. Large goitre deforming neck anatomy 4. Retrosternal extension of thyroid 5. Patients on regular preoperative opioid based medications 6. Patients with pre-existing phrenic nerve palsy, brachial plexus palsy, RLN palsy or Horner’s syndrome 7. Patients with cognitive impairment and/or psychiatric illness 8. Patients unable to understand the study protocol or unable to use PCA pumps or unable to perform PFTs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare between the two groups the total dose of fentanyl required in first 24-hour postoperative period following thyroid surgery under general anaesthesia (GA).Timepoint: At the end of 24 postoperative hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of phrenic nerve palsy, Recurrent laryngeal nerve palsy, Posterior neck pain and posterior headache, Numbness of ear lobe, Arm weakness (Brachial Palsy), Horner’s syndrome. Timepoint: 0-24 hours postoperatively;Quality of recovery score.Timepoint: 24 hours postoperatively;To compare between the two groups Time to first rescue analgesic in post-operative periodTimepoint: 0-24 hours post surgery;VAS at rest (incision pain) at 0, 1, 2, 6, 12, 24 hours postoperatively.Timepoint: at 0, 1, 2, 6, 12, 24 hours postoperatively;VAS on swallowing (incision pain)Timepoint: at 0, 1, 2, 6, 12, 24 hours | — |
Countries
India
Contacts
All India Institute of Medical Sciences