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.

Keywords: fine needle aspiration; local anaesthesia; non-diagnostic sample; sedation; thyroid nodules.