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Perioperative Analgesia for Thyroid and Parathyroid Surgery

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Perioperative Pain Control: Tools for Surgeons

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Abstract

Thyroidectomy and parathyroidectomy are common outpatient endocrine surgeries characterized by mild to moderate postoperative pain. Perioperative analgesic management is multifaceted, and an individualized approach should be taken with each patient. Preoperative discussion of pain control and postoperative expectations are necessary considerations for optimal analgesic outcome. There is the potential for significant abuse and development of dependence on opioids. Non-opioids such as NSAIDS, acetaminophen, and local anesthetics provide reliable alternatives for analgesic management following thyroid and parathyroid surgery. Although not as well studied, gabapentinoids and ketamine may serve as reliable alternatives as well.

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Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA

    Brandon K. Nguyen

  2. Department of Otolaryngology – Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Andrew P. Johnson

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  1. Brandon K. Nguyen
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  2. Andrew P. Johnson
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Correspondence to Andrew P. Johnson .

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  1. Bergen Medical Associates, Emerson, NJ, USA

    Peter F. Svider

  2. Anesthesiology, Pain Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Anna A. Pashkova

  3. Otolaryngology – Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Andrew P. Johnson

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Nguyen, B.K., Johnson, A.P. (2021). Perioperative Analgesia for Thyroid and Parathyroid Surgery. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_11

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  • DOI: https://doi.org/10.1007/978-3-030-56081-2_11

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