A Prospective, Randomized Comparison Between Combined (Deep and Superficial) and Superficial Cervical Plexus Block with Levobupivacaine for Minimally Invasive Parathyroidectomy

Pintarič, Tatjana Stopar; Hočevar, Marko; Jereb, Simona; Casati, Andrea; Jankovič, Vesna Novak

doi:10.1213/01.ane.0000280443.03867.12

Cited by 40 publications

(33 citation statements)

References 19 publications

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“…Local and regional block anesthesia with monitored anesthesia care (IV sedation), however, is used by some surgeons with success [8,37,[44][45][46][47][48][49][50][51]. Regional anesthesia avoids complications associated with general anesthesia, including endotracheal intubation, which has been reported to cause vocal cord changes in up to 5% of patients [45].…”

Section: Randomized and Comparative Studiesmentioning

confidence: 99%

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Surgical strategy for sporadic primary hyperparathyroidism an evidence-based approach to surgical strategy, patient selection, surgical access, and reoperations

Mihai

Barczyński

Iacobone

et al. 2009

Langenbecks Arch Surg

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Section: Randomized and Comparative Studiesmentioning

confidence: 99%

“…[47] compared a superficial cervical plexus block with combined (deep and superficial) cervical plexus block with 0.5% levobupivacaine. There were no differences between groups in onset of block, block failure, pain scores during surgery, time to first analgesic request, or fentanyl consumption.…”

Section: Randomized and Comparative Studiesmentioning

confidence: 99%

Surgical strategy for sporadic primary hyperparathyroidism an evidence-based approach to surgical strategy, patient selection, surgical access, and reoperations

Mihai

Barczyński

Iacobone

et al. 2009

Langenbecks Arch Surg

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“…This anesthetizes the whole surgical field although it carries a risk of injection of the drug to internal carotid artery or injury to vagus nerve (6). This risk can be reduced when a superficial block of the neck plexus is performed that seems as effective as the deep block (7).…”

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confidence: 99%

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Banasiewicz

Meissner

Pyda

et al. 2011

Polish Journal of Surgery

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The local anesthesia in thyroid surgery is rarely used, only in selected patients. Majority of centers performing thyroid surgery with local anesthesia have possibility to convert to the general anesthesia. the aim of the study was to present our experiences with partial thyroidectomy under local anesthesia performed in 49 consecutive subjects in the Central African Republic (bilateral subtotal strumectomy, total resection of the one lobe, subtotal resection of the one lobe). Material and methods. All admitted patients with clinically significant goiter were accepted for surgical treatment. For infiltration anesthesia 1% lignocaine was used. Because of the shortage of medical resources, potential conversion to the general anesthesia was impossible. Before the operation patients had received an oral sedation and antibiotic. In 16 patients general anesthesia was used, in other 33 it was impossible. Results. Subtotal bilateral thyroidectomy was performed in 37 patients, 12 patients underwent lobectomy or partial lobectomy of the affected portion of the gland. There were no intraoperative and postoperative complications noticed in the reported group, including complications related to laryngeal nerve injury. The mean duration of the procedure was 127 minutes and mean medical follow-up was 3 days. General condition of all patients on the day of discharge from hospital was good. conclusions. Surgery for goiter under local anesthesia may be a safe alternative where general anesthesia is not available or contraindicated for medical reasons. The infiltration anesthesia is simple to perform and reduces the number of complications potentially occurred at the C2-C4 neck plexus block.

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“…Bilateral servikal pleksus blokajı uygulamasında lokal anestetik dozu önemli bir kısıtlayıcı faktör-dür. Bu dozun sınırlı ve düşük konsantrasyonda kullanılması komplikasyonların görülme sıklığını azaltabilir (15). Karotis arterlerin manipülasyonu sırasında oluşabilecek bir solunum sıkıntısı veya kalp durması sonrası acil entübasyon durumunda zor hava yolu kontrolü özellikle hazırlıklı olunması gereken bir durumdur.…”

Section: Discussionunclassified

Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade

Kavakli¹,

Ayoglu²,

Öztürk³

et al. 2015

Turk J Anaesth Reanim

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In patients with severe carotid artery stenosis who developed transient ischemic attack, carotid endarterectomy is one of the most effective treatments. In particular, in patients with contralateral carotid artery lesions, there is a risk of serious neurologic complications during the intra-operative period. Experienced staff can perform simultaneous bilateral carotid endarterectomy safely in carefully selected patients. The advantages of regional anaesthesia in carotid endarterectomy are evaluation of intra-operative neurological condition and defining correct indications for shunt usage. It is a cheap, reliable and easy method that reduces the length of stay in the intensive care unit and in the hospital and may influence the overall cost of care. However, it is important to make dose adjustments to avoid potential complications of nerve involvement during bilateral procedure. In this case report, we share our experiences regarding bilateral carotid endarterectomy under cervical plexus blockade. Keywords:Cervical plexus, nerve block, carotid endarterectomy, carotid stenosis Geçici iskemik atak geçirmiş ve ciddi karotis arter darlığı bulunan hastalarda halen karotis endarterektomisi en etkin tedavi yöntem-lerinden biridir. Özellikle karşı taraf karotis arterinde de lezyonu bulunan hastalar intraoperatif ciddi nörolojik komplikasyon riski altındadır. Eş zamanlı bilateral karotis endarterektomileri deneyimli ekip ve uygun hasta seçimiyle güvenle yapılabilmektedir. Karotis endarterektomilerinde rejyonal anestezinin avantajları intraoperatif nörolojik durumu değerlendirebilme ve doğru şant endikasyonunu koyabilmeye olanak sağlamasıdır. Ucuz, güvenilir ve kolay bir yöntem olduğu kadar hastanede ve yoğun bakımda kalış süresini kısaltarak hastane maliyetini de düşürür. Özellikle bilateral uygulamalar sırasında sinir tutulumlarının olası komplikasyonlarından kaçınmak için doz ayarlaması yapılması önemlidir. Bu olgu sunumunda servikal pleksus blokajı ile yapılan bilateral karotis endarterektomisi deneyimimizi paylaştık. 367 Giriş S erebrovasküler hastalıklar, tüm dünyada, kanser ve kalp hastalıklarından sonra en çok ölüme neden olan hastalıklar-dır. Karotis arterlerin darlığı, serebrovasküler hastalıkların en önemli nedenlerinden biri olup tüm inmelerin %20 -25'inden sorumludur (1). Karotis endarterektomisi (KEA) %70'in üzerinde darlığı olan semptomatik hastalarda altın standart tedavi şekli iken, asemptomatik hasta grubu için tartışma halen devam etmektedir (2). KEA yüksek dereceli internal karotis arter darlığı olan semptomatik hastalarda inme riskini azaltır. Bilateral karotis arter stenozu sık olmakla beraber, aynı seansta endarterektomi yapılması fazla tercih edilmemektedir. Yaygın olarak basamaklı endarterektomi yaklaşımı kabul görmektedir. Bununla birlikte özellikle iki taraflı %90 ve üzeri darlığı olan, ülsere, kalsifik ve emboli riski yüksek plakları bulunan hastalarda, basamaklı tedavi arasındaki sürede yüksek emboli riski nedeniyle aynı seansta bilateral endarterektomi tercih edilmektedir.Karotis endarterekto...

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A Prospective, Randomized Comparison Between Combined (Deep and Superficial) and Superficial Cervical Plexus Block with Levobupivacaine for Minimally Invasive Parathyroidectomy

Abstract: Superficial CPB is an alternative to combined block for MIP.

Cited by 40 publications

References 19 publications

Surgical strategy for sporadic primary hyperparathyroidism an evidence-based approach to surgical strategy, patient selection, surgical access, and reoperations

Surgical strategy for sporadic primary hyperparathyroidism an evidence-based approach to surgical strategy, patient selection, surgical access, and reoperations

Local Anesthesia in Thyroid Surgery - Own Experience and Literature Review

Simultaneous Bilateral Carotid Endarterectomy under Cervical Plexus Blockade

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