Does sedation offer better outcomes than local anaesthesia for thyroid FNA in adult patients?

Abstract

OBJECTIVE:

To examine the potential benefits of sedation in adults undergoing fine needle aspiration (FNA) of thyroid nodules.

METHODS:

This retrospective study compared the outcomes of sedated and non-sedated FNA patients.

RESULTS:

A total of 860 patients underwent 1698 FNAs of thyroid nodules. The mean patient age was 52.4±14.4 years, and 80.2% of patients were women. The non-sedated group consisted of 782 patients with 1543 (93.5%) FNA procedures. The sedated group consisted of 66 patients who underwent 107 (6.5%) FNAs. There was no statistical difference between these groups with respect to age, gender, nodule size, nodule vascularity, non-diagnostic sample rate and post FNA hematoma (P > .05).

CONCLUSIONS:

Performing FNA of thyroid nodules in adult patients under sedation is not associated with a higher diagnostic yield or lower bleeding rate when compared to local anesthesia. Sedation should be judiciously used on only very anxious patients due to the increased overall cost.

• Authors: R M Kholmatov, H S Khadra, F Murad, T M Ahmed, A B Sholl, E Kandil
• Journal: Cytopathology : official journal of the British Society for Clinical Cytology (Cytopathology) Vol. 29 Issue 2 Pg. 201-204 (04 2018) ISSN: 1365-2303 [Electronic] England
• PMID: 29457291 (Publication Type: Journal Article)
• Copyright: © 2018 John Wiley & Sons Ltd.

Topics

• Adult
• Aged
• Anesthesia, Local (methods)
• Biopsy, Fine-Needle (methods)
• Conscious Sedation (methods)
• Female
• Humans
• Male
• Middle Aged
• Thyroid Nodule (diagnosis, pathology)