Effects of Neck Hyperextension Position on Hemodynamics of Vertebral Artery Following Thyroidectomy and Correlation Between Change of Hemodynamics and Postoperative Nausea and Vomiting

Objective To approach the effect of neck hyperextension position on hemodynamics of vertebral artery following thyroidectomy,and analyze the correlation between the change of hemodynamics and nausea and vomiting.Methods One hundred and fifty-eight patients with preparing for thyroidectomy(thyroidectomy group)and 89 patients with laparoscopic cholecystectomy(LC,LC group)were selected.The anesthesia method and the anesthesia drugs were the same in two groups.The indexes of hemodynamics of the bilateral vertebral artery at 6 h before and after thyroidectomy were measured.The difference of nausea and vomiting was observed and compared in two groups.Results The average blood flow velocity of the bilateral vertebral artery reduced and the blood flow decreased at 6 h after thyroidectomy as compared with at 6 h before thyroidectomy(P0.05).The rates of nausea and vomiting of 0,2,3,4 times in the thyroidectomy group were significantly higher than those in the LC group(P 0.05,P 0.01).The durations of nausea and vomiting of 1,2,3,4 times in the thyroidectomy group were also significantly longer than those in the LC group(P0.01).There was a positive correlation between the nausea and vomiting and the changes of blood flow velocity or blood flow(change of blood flow velocity:rs=0.697,P=0.03;change of blood flow:rs=0.897,P=0.01).Conclusions There is a certain effect of the neck hyperextension position on hemodynamics of the bilatreal vertebral artery,and which might affect the nausea and vomiting following thyroidectomy.