Clinical Guidance
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- BAETS position statement on day case hemi-thyroidectomy
- Post-thyroidectomy bleeding: analysis of risk factors from a national registry
- The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults
- BAETS Guidelines on Training and Management of Endocrine Disease
- American Thyroid Association Management Guidelines for Adults with Thyroid Nodules and DTC
- 2014 British Thyroid Association guidelines on the management of thyroid cancer
- BTA Guidelines on Thyroid Function Tests
- Paediatric Endocrine Tumour Guidelines
- Optimizing outcomes in reoperative parathyroid surgery: Definitive multidisciplinary joint consensus guidelines of the American Head and Neck Society and the British Association of Endocrine and Thyroid Surgeons
Adrenal Surgery Practice Guidance for the UK 2016
BAETS has worked closely with a multidisciplinary group of clinicians representing all stakeholder organisations involved in the modern management of patients undergoing adrenal surgery. The resulting guidance is commended to all clinicians involved in the care of such patients as it presents an evidence based approach to a complex clinical scenario.
Adrenal Surgery Practice Guidance for the UK 2016
BAETS Post Thyroidectomy Hypocalcaemia Guidelines
Data from the UK Registry of Endocrine and Thyroid Surgery (www.baets.org.uk/audit) shows that post thyroidectomy hypocalcaemia rates can reach 27%.
BAETS recommends that each endocrine / thyroid surgery unit has documented guidelines for the treatment of post thyroid surgery hypocalcaemia and that this document is available to all team members involved in the care of thyroid surgery patients.
To aid this goal BAETS has produced post thyroidectomy hypocalcaemia guidance. This is indicative, not prescriptive, and it is hoped that members can use this document as a starting point for discussions with local medical endocrinology, biochemistry and pharmacy colleagues to produce local post thyroidectomy hypocalcaemia guidelines for their practice.
It is recognised that the numerical definition of hypocalcaemia may vary slightly depending on local laboratory practices and also that some centres prefer to use ionised calcium values. Furthermore, there will be variations in the exact medications supplied by pharmacy departments across the country. Thus we emphasise that the guidance is delivered as an aid to the production of local guidelines.
BAETS Post op Hypocalcaemia Guidance
Pre and Post-Operative Laryngoscopy in Thyroid and Parathyroid Surgery, British Association of Endocrine and Thyroid Surgeons Consensus 2010
Vocal cord palsy is one of the key complications associated with thyroid and parathyroid surgery and is with hypoparathyroidism one of the main causes of litigation(Kern KA (1993) Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease. (Surgery 114:1167–1174). A unilateral vocal cord paralysis may lead to hoarseness, loss of volume and a breathy voice. The severity of these symptoms ranges from mild to socially and professionally debilitating. Dysphagia, especially to liquids, is a common associated symptom that may lead to aspiration of saliva and chest infections. Bilateral vocal cord paralysis is associated with airway restriction that may necessitate a tracheostomy or procedures to widen the glottis (Randolf GW, in Surgery of the Thyroid and Parathyroid Glands. Randolf GW (ed) 1993 Saunders/Elsevier, Philadelphia).