BACKGROUND: The most common significant complication of total thyroidectomy is @entity261 . Intraoperative prediction of which @entity1 are likely to be affected would allow both intraoperative and postoperative interventions to be utilised in these @entity1 . Selection of these @entity1 is essential if we are to be successful at discharging total thyroidectomy @entity1 on the first postoperative day. We investigated the utility of intraoperative @entity6685 measurement from the internal jugular vein at predicting @entity86 . MATERIALS AND METHODS: Prospective collection of data was done on 45 consecutive total thyroidectomy @entity1 . Preoperative @entity460 , intraoperative @entity6685 and postoperative @entity460 and @entity6685 were collected. The accuracy of intraoperative @entity6685 in predicting those with @entity86 was assessed. RESULTS: Intraoperative @entity6685 of less than 2 pmol l(-1) had a sensitivity of 100% and a specificity of 95% in predicting those with @entity86 . An intraoperative sample less than 2 pmol l(-1) was a highly significant predictor (p < 0.0001) of @entity86 . CONCLUSION: Intraoperative assessment of @entity6685 is an accurate predictor of those @entity1 who will become @entity261 in the postoperative period. Intraoperative prediction allows for targeted autotransplantation of glands in those at risk and selected early institution of postoperative supplementation in these @entity1 . @entity1 not identified as at risk can be safely discharged.

Intraoperative XXXX measurement from the internal jugular vein predicts post-thyroidectomy hypocalcaemia.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity6685 :: ('MESH:D010281', 'Chemical') :: ['parathormone'] @entity261 :: ('MESH:D007011', 'Disease') :: ['hypoparathyroid', 'hypoparathyroidism'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative hypocalcaemia'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium']
@entity6685 :: (MESH:D010281,Chemical) :: ['parathormone']
