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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
75
the vocal cords will be visualized after extubation with direct laringoscopy
the vocal cords will be visualized after extubation with fiberoptic nasal laringoscopy
the vocal cords will be visualized after extubation with fiberoptic ultrasonography
Diskapi Yildirim Beyazit Teaching and Research Hospital
Ankara, Turkey (Türkiye)
visualisation of the vocal cords
the vocal cords will be examined after extubation
Time frame: 1 min after extubation
duration of the procedure
the duration of the vocal cord examination
Time frame: 10 min after extubation
mean arterial pressure
the mean arterial pressure will be measured after extubation
Time frame: 10 min after extubation
heart rate
the heart rate will be measured after extubation
Time frame: 10 min after extubation
peripheal oxygen saturation
the peripheal oxygen saturation will be measured after extubation
Time frame: 10 min after extubation
hypertention
mean arterial pressure \>20% from baseline value
Time frame: 5 minutes after the extubation
tachycardia
heart rate \>20% from baseline value
Time frame: 5 minutes after the extubation
laceration
blood detected on the blade/fiber optic scope, or macroscopic blood on the oral nasal mucosa
Time frame: 5 minutes after the extubation
teeht damage
broken teeht
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Time frame: 5 minutes after the extubation