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  3. 39.Role of Prophylactic Administration of Calcium Gluconate in the Early Post Operative Period after Total Thyroidectomy at Ayub Teaching Hospital Abbottabad
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39.Role of Prophylactic Administration of Calcium Gluconate in the Early Post Operative Period after Total Thyroidectomy at Ayub Teaching Hospital Abbottabad

Babar Sultan Khaghan1, Fazli Junaid2, Syed Aamer Hussain2, Ammad Iqbal Noor1,
Tahir Iqbal1 and Midat Maham2

ABSTRACT

Objective: To assess the role of prophylactic administration of calcium gluconate in early postoperative patients after total thyroidectomy.

Study Design: Prospective study

Place and Duration of Study: This study was conducted at the Surgery Department, Ayub Teaching Hospital, Abbottabad from January 2022 to June 2022.

Materials and Methods: A total of 72 patients were included in the study through the purposive sampling technique, but the participants were divided into two groups randomly. One was group 1 who had received prophylactic calcium gluconate while group 2 had not. All the data were collected from the patient’s assessment records and laboratory reports and were analyzed by using the latest version of SPSS 24.

Results: A total of 72 patients were included in the study through the purposive sampling technique, but the participants were divided into two groups randomly. The mean age of Group 1 was 38.42 ± 9.35, while Group 2 had 39.57±10.7 years. There was male 13 (36.11 %) and female 23 (63.88) in Group 1, furthermore, in Group 2 there were mal 17 (47.22 %) and female 19 (52.77 %). Multinodular goiter was the most common reason (17 (47.22%)) for surgery in both of the groups equally. The mean hospital stay in Group 1 was 2.4± 0.8 while in Group was 3±1.3 having a p-value of 0.005. Consequently, the level of Ca+ after 12 and 24 hours in Group 1 was 8.9±0.4 and 8.9±0.5 respectively, however, in Group 2 was 8.2±0.3 and 8.4±0.2. paresthesia in Group 1 after 12 and 24 hours 2 (5%) and 1 (2.7 %) was accordingly, similarly, in Group 2, 5 (13.8 %) and 3 (8.3 %) accordingly. Comparably, the intravenous calcium 1 (2.7 %) in Group 1 and Group 2, 4 (11.11 %).

Conclusion: The present study concluded that the prophylactic use of calcium gluconate in the patients who underwent a total thyroidectomy had a more prominent effect on the patient’s hospital stay as well as on the postoperative serum calcium. Those in Group 1 who had received calcium had shorter hospital stays and a higher level of serum as well as requirements of IV calcium as compared to others in Group 2.

Key Words: Serum Calcium, Multinodular Goiter, Paresthesia, Grave Diseasese

Citation of article: Khaghan BS, Junaid F, Hussain SA, Noor AI, Iqbal T, Maham M. Role of prophylactic administration of Calcium gluconate in the early post operative period after Total Thyroidectomy at Ayub Teaching Hospital Abbottabad. Med Forum 2023;34(9):169-172. doi:10.60110/medforum.340939.