Clinical Usefulness of the Valsalva Maneuver to Improve Hemostasis During Thyroidectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 178
- 试验地点
- 1
- 主要终点
- Volume of cervical drainage after total thyroidectomy
研究概览
简要总结
Bleeding after total thyroidectomy remains a rare event that affects early postoperative morbidity, occurring in 0.3% up to 4.2% of cases. Intraoperative bleeding is an unpleasant complication, and it is often easily manageable though postoperative bleeding may represent a life-threatening condition for the patient.
Between January 2019 to February 2022 , 250 consecutive patients were listed for thyroidectomy. The Investigators selected 178 patients and divided them in two groups based on the execution of the Valsalva Manoeuvre.
The purpose of the investigator is to clarify whether the routine intraoperative execution of a Valsalva manoeuvre (VM) may affect the detection of bleeding that would otherwise remain occult and therefore may manifest in the postoperative period.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •thyroid diseases
排除标准
- •lymph node dissection
- •minimally invasive approaches
- •high anesthesiological risk
结局指标
主要结局
Volume of cervical drainage after total thyroidectomy
时间窗: 24 hours
Bleeding after thyroidectomy is evaluated based on the total volume of cervical drainage output (ml)
Number of reinterventions
时间窗: 24 hours
Reoperations to resolve post thyroidectomy bleeding, which can cause airway compression and choking signs and symptoms.
次要结局
未报告次要终点
研究者
Mario Pacilli
Principal Investigator
University of Foggia