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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP A-NO Valsalva maneuver | |||
| GROUP B- Valsalva maneuver |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Valsalva maneuver | Procedure | Valsalva maneuver: increase intrabdominal pressure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Volume of cervical drainage after total thyroidectomy | Bleeding after thyroidectomy is evaluated based on the total volume of cervical drainage output (ml) | 24 hours |
| Number of reinterventions | Reoperations to resolve post thyroidectomy bleeding, which can cause airway compression and choking signs and symptoms. | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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patients underwent total thyroidectomy
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Policlinico Di Foggia | Foggia | 71122 | Italy |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jul 15, 2022 | Jul 19, 2022 | Prot_000.pdf |
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| ID | Term |
|---|---|
| D014636 | Valsalva Maneuver |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D012129 | Respiratory Function Tests |
| D003948 | Diagnostic Techniques, Respiratory System |
| D006439 | Hemodynamics |
| D002320 | Cardiovascular Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |
| D012143 | Respiratory Physiological Phenomena |