Assessment of Serum Ionized Calcium in the Perioperative Period in Patients Undergoing Total Thyroidectomy

Open Access Macedonian Journal of Medical Sciences

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Field Value
 
Title Assessment of Serum Ionized Calcium in the Perioperative Period in Patients Undergoing Total Thyroidectomy
 
Creator Fuad, Muqdad
Modher, Ahmed
 
Subject Post-operative hypocalcemia
Thyroidectomy complications
Transient hypocalcemia
 
Description BACKGROUND: The serious complications of total and near-total thyroidectomy vary from hypocalcemia to recurrent laryngeal nerve injury to tension hematoma. Post-operative hypocalcemia is common and has an incidence of 1.3–83% in some studies.


AIM: The aim of the study is to evaluate the immediate post-operative sequence of serum-ionized calcium next to entire or close entire thyroidectomy to describe the incidence degree of hypocalcemia.


METHOD: One hundred and seventy-four (174) patients who underwent total and near-total thyroidectomy were investigated for serum-ionized calcium level preoperatively and on post-operative day (POD) 1 and 2, searching for difference in serum-ionized calcium level preoperatively.


RESULTS: There was a significant difference between pre-operative serum-ionized calcium (Ca++) level and that in POD1. The mean pre-operative ionized Ca was 1.23 ± 0.47 mmol/l, while mean ionized Ca on POD1 was 1.175 ± 0.11 mmol/l proposing decrease in mean of ionized Ca++ in POD1 (p = 0.0001). There was also a significant difference between pre-operative serum-ionized Ca++ level and that in POD2. The mean pre-operative ionized Ca was 1.23 ± 0.47 mmol/l, while the mean of ionized calcium on POD2 was 1.177 ± 0.1 mmol/l suggesting decrease in mean concentration of Ca++ in POD2 (p = 0.0001).

CONCLUSION: Significant number of patients who undergo near-total and total thyroidectomy develop decrease in the serum concentration of calcium postoperatively.
 
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
 
Date 2021-10-02
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://oamjms.eu/index.php/mjms/article/view/7018
10.3889/oamjms.2021.7018
 
Source Open Access Macedonian Journal of Medical Sciences; Vol. 9 No. B (2021): B - Clinical Sciences; 1203-1206
1857-9655
 
Language eng
 
Relation https://oamjms.eu/index.php/mjms/article/view/7018/6200
 
Rights Copyright (c) 2020 Muqdad Fuad, Ahmed Modher (Author)
http://creativecommons.org/licenses/by-nc/4.0
 

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