Anesthesia for toxic goiter removal is a challenging because of of hemodynamic instability especially during induction, intubation, manipulations of the gland, after removal of the gland and during emergence. So, hemodynamic stability is required all through the operation and even in the first 12 hours of the postoperative period to protect against complications e.g., hypertension, tachycardia, myocardial ischemia, bleeding and thyrotoxic crisis.Mg sulphate used in blunting pressor response during laryngoscopy and intubation. Also it was used in controlled hypotension technique. Also it was reported in decreasing postoperative nausea, vomiting, shivering and postoperative complications compared to controlled group.
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Blood pressure intraoperative
Timeframe: 5 minutes after induction of anesthesia
Oxygen saturation intraoperative
Timeframe: 5 minutes after induction of anesthesia
Heart Rate intraoperative
Timeframe: 5 minutes after induction of anesthesia
Blood pressure postoperative
Timeframe: 10minutes after extubation
Heart Rate postoperative
Timeframe: 10 minutes after extubation
Oxygen saturation postoperative
Timeframe: 10 minutes after extubation