Thyroidectomy

In this article, we will briefly discuss Thyroidectomy. So, let’s get started.

Thyroidectomy

It is the partial or complete removal of the thyroid gland.

Types

  • Lobectomy and isthmusectomy
  • Bilateral subtotal thyroidectomy
  • Near-total thyroidectomy
  • Total thyroidectomy

Indications

  • Carcinoma
  • Large nodular thyroid compressing the airway

Complications

  • Recurrent laryngeal nerve paralysis
  • Hemorrhage
  • Hypoparathyroidism
  • Infection
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Management of Cor Pulmonale

In this article, we will discuss in brief the Management of Cor Pulmonale. So, let’s get started.

Management

  • The patient is rested in a supine comfortable position.
  • Treatment of the basic cause.
  • The patient is advised to avoid smoking.
  • O2 therapy: O2 therapy to be given intermittently.
  • Salt restriction and diuretics: Salt restriction is advised to avoid fluid retention and RV volume overload. Intravenous diuretics such as furosemide, etc are given to relieve fluid overload.
  • Bronchodilators: They are given intravenously to relieve bronchospasm (due to acute exacerbation) and to improve oxygenation.
  • Carbonic-anhydrase inhibitor, e.g. acetazolamide to be given in order to relieve hypercapnia.
  • Antibiotics are given to treat superadded infection causing acute exacerbation.
  • Reduction of afterload by angiotensin-converting enzyme inhibitor (ACE inhibitors) in patients with left heart failure causing right heart failure.