TY - JOUR AU - Bacuzzi, Alessandro AU - Guzzetti, Luca AU - Dionigi, Gianlorenzo AU - Menegaldo, Luca AU - Alicino, Valeria AU - Zanghì, Guido Nicola AU - Freni, Francesco AU - Cuffari, Salvatore PY - 2018 TI - Anesthesiologist perspectives for the transoral approach JF - Annals of Thyroid; Vol 3 (April 2018): Annals of Thyroid Y2 - 2018 KW - N2 - Thyroidectomy is the main endocrine surgical procedure carried out in the world. Recently, transoral endoscopic thyroidectomy vestibular approach (TOETVA) has showed its beneficial results. The main intraoperative challenges are to avoid events such as pneumothorax and pneumomediastinum due to air insufflation. The anesthetist has to be aware about intraoperative alarming signals and promptly alert surgical staff. Additionally, an adequate preoperative assess is essential to investigate and to treat uncontrolled health status. The primary objective of postoperative pain management is to diminish patient discomfort guarantying an optimal analgesia during speech, chewing and swallowing into postoperative period. A practical approach is described in this manuscript. UR - https://aot.amegroups.org/article/view/4320