Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery: meta-analysis and systematic review

Mayhew, Dominic; Sahgal, Namita; Khirwadkar, R.; Hunter, J.M.; Banerjee, A.

doi:10.1016/j.bja.2017.11.083

Cited by 50 publications

(51 citation statements)

References 26 publications

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“…Studies reported that the block allowed to reduce anesthetic requirements and provided prolonged postoperative analgesia. It also decreased pain score, rescue analgesic requirement and overall opioid requirement in the first 24 postoperative hours [12][13][14]. Hence, it minimizes opioids related adverse outcomes and cost [15].…”

Section: Introductionmentioning

confidence: 99%

The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study

2020

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Objective: Uses of simple analgesics were found insufficient to manage pain after thyroid surgery. We hypothesized that using bilateral superficial cervical plexus block (BSCPB) might influence the pattern of immediate postoperative pain and analgesic consumption. The general objective of the study was to assess the analgesic efficacy of bilateral superficial plexus block for thyroid surgery under general anesthesia. Results: A total of 74 willing patients involved. Half of them had received BSCPB with 10 ml of 0.25% bupivacaine just before induction and the remaining half did not. Postoperatively, patients were assessed at immediate, 2nd, 6th, 12th and 24th h. At all endpoints, NRS-11 scores for pain were significantly lower in the block group. The time to first analgesic requirement was significantly longer 132.3 ± 71.5 min vs 71.4 ± 60.0 min, p = 0.009. Opioid and total analgesic consumption were reduced by BSCPB in the first 24 postoperative hours. There was low but non-significant rate of PONV in the block group. No clinically important adverse event was noted related to BSCPB.

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Section: Introductionmentioning

confidence: 99%

The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study

2020

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“…The authors concluded that this comprehensive strategy was safe and associated with a very high rate of patient satisfaction. Other studies have demonstrated the efficacy of other adjuvant analgesic strategies such as superficial nerve blocks, perioperative neuroleptics, and preoperative and postoperative combinations of APAP and NSAIDs . Notably among our cohort, the reported use of non‐opioid pain management was quite common with over 85% of those surveyed employing at least one strategy.…”

Section: Discussionmentioning

confidence: 74%

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

et al. 2019

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Background: There is currently a lack of evidence-based guidelines regarding postoperative opioids after thyroid and parathyroid surgery. This study aimed to objectively characterize contemporary postoperative pain management practices via a national survey of head and neck endocrine surgeons. Methods: A standardized electronic survey was distributed to the membership of the American Head and Neck Society's Endocrine section. Results: A total of 102 surgeons completed the survey representing a 34% response rate. In all, 65.7% of respondents utilize opioids with wide variations in the total morphine equivalents prescribed. Practice environment (χ 2 = 10.0; P = 0.04) and performing preoperative pain counseling (χ 2 = 9.7; P = 0.002) were significantly associated with a decreased likelihood of prescribing postoperative opioids. Utilization of non-opioid pain management strategies was common and significantly associated with performing outpatient surgery (χ 2 = 6.2; P = 0.013) and preoperative pain counseling (χ 2 = 4.5; P = 0.034). Conclusions: Pain management practice patterns vary significantly among head and neck endocrine surgeons which further emphasize the need for evidence-based guidelines. K E Y W O R D Shead and neck endocrine surgery, opioid prescribing, parathyroid surgery, postoperative pain, thyroid surgery

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“…Multiple studies have investigated the effectiveness of BSCPB in thyroid surgery and reported that it was effective in minimizing pain scores, opioid and total analgesic consumption and prolonging analgesia duration [12,13,20,21]. A meta-analysis of 14 studies incorporated 1154 patients revealed BSCPB significantly reduced analgesic requirement, VAS scores and lengthen time to first analgesic request [14]. BSCPB was found significantly associated with nearly half shorter postoperative hospital stay (2.4 ± 0.6 vs 4.7 ± 1.6; p < 0.05) [12].…”

Section: Discussionmentioning

confidence: 99%

“…Performing regional nerve blocks and administration of multi-modal analgesics prior to surgical incision are helpful in reducing intra-and postoperative opioid consumption, primary hyperalgesia, central sensitization and chronic pain [14,22,26]. In combination with gabapentin, BSCPB has prevented delayed neuropathic pain at 6 th postoperative month [27].…”

Section: Discussionmentioning

confidence: 99%

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Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

Berhe

Hailekiros

Fitwi

2019

Preprint

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Objective:Uses of simple analgesics were found insufficient to manage pain after thyroid surgery. We hypothesized that using bilateral superficial cervical plexus block (BSCPB) might influence the pattern of immediate postoperative pain and analgesic consumption. Results: A total of 74 willing patients involved. Half of them had received BSCPB with 10 ml of 0.25% bupivacaine just before induction and the remaining half did not. Postoperatively, patients were assessed at immediate, 2nd, 6th, 12th and 24th hours. At all endpoints, NRS-11 scores for pain were significantly lower in the block group. Time to first analgesic requirement was significantly longer 132.31 ± 71.46 vs 71.4 ± 59.99, p = 0.009. Opioid and total analgesic consumption were reduced by BSCPB in the first 24 postoperative hours. There was low but non-significant rate of PONV in the block group. No clinically important adverse event was noted related to BSCPB.

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Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery: meta-analysis and systematic review

Abstract: BSCPB offers analgesic efficacy in the early postoperative period for up to 24 h after thyroid surgery, with reduced length of hospital stay, but without any beneficial effect on PONV.

Cited by 50 publications

References 26 publications

The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study

The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study

Evaluating contemporary pain management practices in thyroid and parathyroid surgery: A national survey of head and neck endocrine surgeons

Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

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