European Journal of Biomedical and Pharmaceutical Sciences

THE EFFECTIVENESS OF CERVICAL REGIONAL ANESTHESIA IN THE CASE OF TOTAL THYROIDECTOMY A CASE REPORT IN JORDAN AT PRINCE HASHEM BEN ABDULLA II HOSPITAL

Ala ALzriqat MD*, Amer ALsoukhni MD, Ala Aljasar MD, Badea Hanayfa MD and Mujahid Harahsha MD

ABSTRACT

Objective: to assess the effectiveness of cervical regional anesthesia for total thyroidectomy procedure. Case presentation and Method: It is a case report study of 27 years female patient, with free medical and surgical history, who was suffering from a 3cm mass on the left thyroid lobe, the goiter was nonfunctioning but the radiological test and pathological Fine Needle Aspiration showed papillary thyroid cancer, confined to the left lobe without lymphadenopathy. The decision was made after obtaining patient consent and the surgeon to do a total thyroidectomy procedure under regional anesthesia. The procedure was performed on October 6, 2024, at Prince Hashem Bin Abdulla II, in Aqaba, Jordan. After preoperative management, all lap results and radiological tests were performed and registered. The patient was assessed by a surgeon, endocrinologist, and anesthetist before the procedure. The technique was performed after neck scrubbing and toiling, in a supine position with an extended neck, by blocking the deep and superficial cervical plexus bilaterally through an injection of 10-12 ml of 2% lidocaine and fully monitoring the patient throughout the procedure. The patient was awake throughout the procedure, the duration of surgery was one hour, and the patient was followed after the procedure in the recovery room and in the general ward. Result and conclusion: using regional anesthesia instead of general anesthesia carries a low complication rate with good and early patient recovery.

Keywords: regional anesthesia, cervical block.