Most surgeons administer iodine (as Lugol solution or saturated solution of potassium iodide to provide ≥30 mg of iodine/d) for 10 days before surgery to decrease thyroid gland vascularity, the rate of blood flow, and intraoperative blood loss during thyroidectomy.

How do you drape a thyroidectomy?

1. Head drape.
2. Square off with towels around neck, including chin, to 5 cm below clavicles laterally to trapezius muscles.
3. Split sheet.

What prep solution is used for thyroidectomy?

Most surgeons administer iodine (as Lugol solution or saturated solution of potassium iodide to provide ≥30 mg of iodine/d) for 10 days before surgery to decrease thyroid gland vascularity, the rate of blood flow, and intraoperative blood loss during thyroidectomy.

What happens in a pre op for thyroid surgery?

Once you decide to have surgery you will have a pre-operative assessment, which includes thyroid function, calcium, and other blood tests. You may also have a chest X-ray, CT scan and/or an electrocardiogram (ECG). Your vocal cords may also be checked.

What is the post op care for thyroidectomy patient?

Avoid strenuous physical activity and lifting heavy objects for 3 weeks after surgery or until your doctor says it is okay. Do not over-extend your neck backwards for 2 weeks after surgery. Ask your doctor when you can drive again. You may take a shower, unless you still have a drain near your incision.

What are the draping procedures?

The procedure of covering a patient and surrounding areas with a sterile barrier to create and maintain a sterile field during a surgical procedure is called draping. The purpose of draping is to eliminate the passage of microorganisms between nonsterile and sterile areas.

What is the purpose of draping a patient?

The primary purpose of draping the surgical patient is to isolate the surgical site from the other areas of the patient’s body and nonsterile areas of the OR table in order to contribute to reducing the risk of surgical site infection (SSI).

Why is potassium iodide given before thyroidectomy?

Administration of potassium iodide solution (KI) is recommended prior to thyroidectomy for Graves’ because it is thought to make surgery easier and safer. Historically, KI in combination with propranolol effectively controlled hyperthyroidism even in the absence of currently available anti-thyroidal medications.

Why lugol’s iodine is given before thyroidectomy?

Saturated solution of potassium iodide (SSKI) or potassium iodine (Lugol’s solution), given for a short period prior to surgery, in order to reduce both thyroid hormone release and thyroid gland vascularity, is beneficial to decrease intra-operative blood loss.

Do you get a catheter during thyroid surgery?

If you’re having an endoscopic or robotic thyroidectomy, the surgeon will use small instruments and a video camera to perform the procedure through tiny incisions. A catheter may be placed in the area to help drain blood and fluids.

Why am I so tired after having my thyroid removed?

After any operation, your body is using a lot of energy to heal itself, so you will feel more tired than normal.

When can I remove bandage after thyroid surgery?

A light bandage consisting of a gauze pad and a clear plastic covering will be placed over your incision after surgery. This bandage may be removed 48 hours after you leave the hospital. If you have steri-strips on your incision, leave them in place until they begin to fall off naturally.

What equipment is needed after a thyroidectomy?

Double-pronged skin hooks. Mahorner retractor (alternatively, other self-retaining retractors may be used) Bovie electrocautery, harmonic scalpel , and/or Shaw scalpel. Bipolar electrocautery forceps.

What are the 3 types of drapes that can be used to cover the patient?

There are three types of draping materials: cloth reusable drapes, paper disposable drapes, and disposable plastic adhesive drapes. The use of disposable drapes allows for the surgeon to cut an opening or fenestration in the drape to any size or shape.

What is iodine before surgery?

Iodine also eliminates protozoans, viruses, molds, fungi and yeasts. By applying iodine compounds to the surgical site prior to the procedure, medical professionals are able to sterilize the patient’s skin and prevent contamination of the wound.

Why is it so important for the client to be euthyroid prior to thyroidectomy?

In preparation for thyroid surgery, the American Thyroid Association guidelines recommend rendering the patient euthyroid and effectively ‘beta-blocked’ to decrease the risk of a potentially lethal thyrotoxic crisis [2].

Why is iodine given before a thyroidectomy in Graves disease?

Is lugol’s iodine the same as iodine?

Lugol’s iodine, also known as aqueous iodine and strong iodine solution, is a solution of potassium iodide with iodine in water. It is a medication and disinfectant used for a number of purposes.

Do they intubate you for thyroid surgery?

Thyroidectomy under regional or local anesthetic may be performed safely if necessary; most cases, however, are performed under general anesthesia with endotracheal intubation.