Thyroid Nodule
Conditions
Brief summary
Recurrent nerve palsy is a complication of thyroidectomy. Most surgeons want to visualize the vocal cords after tyroidectomy. The aim is to compare the direct laringoscopy, videolaringoscopy, fiberoptic laringoscopy and ultrasonography methods in terms of efficacy, duration and hemodynamic responses during the procedure.
Detailed description
The vocal cord will be visualised after the extubation with one of the following methods: direct laringoscopy videolaringoscopy fiberoptic laringoscopy ultrasonography The of efficacy of the method (0= not able to visualize the vocal cords, 1= the vocal cords were visualized) duration of the procedure and hemodynamic responses (heart rate, mean arterial pressure) during the procedure will be compared between the groups.
Interventions
DEVICEdirect laringoscopy
the vocal cords will be visualized after extubation with direct laringoscopy
DEVICEfiberoptic nasal laringoscopy
the vocal cords will be visualized after extubation with fiberoptic nasal laringoscopy
DEVICEultrasonograph
the vocal cords will be visualized after extubation with fiberoptic ultrasonography
Sponsors
Diskapi Teaching and Research Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Benign or malignant thyroid pathology
Exclusion criteria
* anticipated difficult intubation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| peripheal oxygen saturation | 10 min after extubation | the peripheal oxygen saturation will be measured after extubation |
| visualisation of the vocal cords | 1 min after extubation | the vocal cords will be examined after extubation |
| duration of the procedure | 10 min after extubation | the duration of the vocal cord examination |
| mean arterial pressure | 10 min after extubation | the mean arterial pressure will be measured after extubation |
| heart rate | 10 min after extubation | the heart rate will be measured after extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tachycardia | 5 minutes after the extubation | heart rate \>20% from baseline value |
| laceration | 5 minutes after the extubation | blood detected on the blade/fiber optic scope, or macroscopic blood on the oral nasal mucosa |
| teeht damage | 5 minutes after the extubation | broken teeht |
| hypertention | 5 minutes after the extubation | mean arterial pressure \>20% from baseline value |
Countries
Turkey (Türkiye)
Outcome results
None listed