Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial

Karakış, Alkan; Tapar, Hakan; Özsoy, Zeki; Süren, Mustafa; Doğru, Serkan; Karaman, Tuğba; Karaman, Serkan; Şahin, Ali; Kanadlı, Hasan

doi:10.1016/j.bjane.2019.06.012

Cited by 6 publications

(15 citation statements)

References 24 publications

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“…morphine consumption, it was significantly reduced in group II in comparison with group I. The same as our study Karakış et al, [17] showed that the tramadol required postoperatively was significantly decreased in the BSCPB group in comparison with the controls. Karthikeyan et al, [13] in their study on the efficacy of BSCPB in thyroidectomy also revealed that morphine requirement postoperatively was significantly less in block groups in comparison with controls.…”

Section: Discussionsupporting

confidence: 88%

Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery

Alsamahy,

Amin,

Abdullah

et al. 2023

Int. J. Med. Anesthesiology

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Background Methods:The current study was a prospective randomized controlled double blinded study was conducted at Tanta University Hospitals for patients admitted to undergo elective thyroid surgeries for a period of 9 months. Inclusion criteria were patients aged 21 -65 y and ASA physical status I or II, prepared for elective thyroid operation were encouraged to contribute to the study cases were divided to 2 equal groups (50 cases each) in a random manner: Group I (Control group): Sham Technique: the cases received general anaesthesia plus US guided Bilateral SCPB with 10 ml NaCl 0.9% were injected on both sides. Group II (Study group): cases received general anaesthesia plus US guided Bilateral SCPB with a total volume of 10 ml containing Bupivacaine 0.25% was injected (5 ml Bupivacaine 0.5%-and 5-ml NaCl 0.9% bilaterally). Results: Postoperative QOR-15 score was significantly elevated in group II in comparison with group I; P value less than 0.001. Time to 1 st rescue analgesia was significantly higher in group II in comparison with group I; P value < 0.001. VAS was significantly elevated in group I at 30min, 2hrs, 4hrs and 6 hrs in comparison with Group II: P value less than 0.001. nevertheless, no statistically significant differences were found between both groups at 8hr, 10hr, 12hr, 18hr and 24hr; P value <0.005. Postoperative opioid consumption was significantly reduced in group II in comparison with group I: P value less than 0.001. Pre and post-operative values of diaphragmatic excursion revealed that there was no statistically significant differences either in the same group or between the 2 groups. Conclusions: Patients undergoing thyroid surgery showed improved global quality of recovery after preoperative US guided BSCPB. It decreased POP score, diminished intraoperative analgesic consumption, reduced postoperative morphine consumption, and maintained diaphragmatic excursion.

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Section: Discussionsupporting

confidence: 88%

Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery

Alsamahy,

Amin,

Abdullah

et al. 2023

Int. J. Med. Anesthesiology

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“…Woldegerima et al reported that BSCPB using 10 mL of 0.25% bupivacaine just before induction prolonged the time to first analgesic requirement, and reduced opioid and total analgesic consumption in the first 24 hours postoperatively [9]. Karakis et al demonstrated a reduction in opioid consumption and postoperative pain intensity in patients who underwent thyroid surgery [15].…”

Section: Discussionmentioning

confidence: 99%

Effect of Bilateral Superficial Cervical Plexus Block on Postoperative Analgesic Consumption in Patients Undergoing Thyroid Surgery

Ozgun¹,

Hoşten²,

Solak³

2022

Cureus

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Patients complain of moderate-intensity pain following thyroid surgery. Superficial cervical plexus block (SCPB) can be employed as a component of multimodal analgesia after thyroid surgery. This double-blind, randomized study aimed to compare the effects of bilateral SCPB (BSCPB) on postoperative analgesic requirements following thyroid surgery. MethodsA total of 60 American Society of Anesthesiologists (ASA) I-II patients who underwent elective total thyroidectomy under general anesthesia were randomly assigned to Group 1 and Group 2. After inducing general anesthesia, BSCPB was not administered to Group 1, whereas BSCPB was administered using a three-point injection technique with 0.5% levobupivacaine in Group 2. Patient-controlled analgesia (PCA) was applied by using tramadol in both groups for postoperative analgesia. Tenoxicam was administered as rescue analgesic to patients in case of numeric rating scale (NRS) >4. The postoperative consumption of tramadol, rescue analgesic requirement, and hoarseness, hematoma, signs of local anesthetic toxicity were recorded. ResultsThe consumption of tramadol for PCA at two, six, 12, and 24 hours postoperatively, NRS scores in the recovery room, and the number of patients who used tenoxicam as rescue analgesic were significantly lower in Group 2 than in Group 1. The hemodynamic values were similar between the groups. ConclusionsOur study demonstrates that BSCPB, when applied as a component of multimodal analgesia, is an effective method for reducing the analgesic requirements following thyroid surgery.

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“…Também pode ser utilizado de forma combinada em cirurgias orais e maxilofaciais, cirurgias artroscópicas do ombro e na fixação de fratura clavicular (BARAN et al, 2020;KANTHAN, 2016;MUSSO et al, 2017). Bloqueios bilaterais superficiais no plexo cervical reduzem a demanda por analgésicos no intra e no pós-operatório de tireoidectomias, assim como de antieméticos no pós-cirúrgico (KARAK et al, 2019).…”

Section: Discussionunclassified

Dissecção Do Plexo Cervical Na Formação Médica: Aplicabilidades Clínicas E Cirúrgicas

Felipe¹,

Fornaziero²,

Gouvêa-e-Silva³

et al. 2021

Arq. Ciênc. Saúde Unipar

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A Anatomia da região cervical é de particular importância para os cirurgiões e clínicos de diversas especialidades médicas. Em se tratando da organização nervosa presente na região anterolateral do pescoço, encontra-se o plexo cervical, formado pelos ramos anteriores dos nervos cervicais C1 a C4, cuja função é promover a sensibilidade da pele anterolateral cervical, torácica anterossuperior e do couro cabeludo posterior, na cabeça, além de controlar a musculatura infra-hióidea e diafragmática. Logo, lesões a essa estrutura nervosa e aos seus ramos podem causar graves complicações ao corpo humano. Esse trabalho objetivou utilizar a dissecção da região anterolateral do pescoço como uma ferramenta pedagógica para o estudo das relações anatômicas dos nervos do plexo cervical observados durante essa prática, assim como relatar algumas de suas importâncias clínicas e cirúrgicas. O presente estudo é caracterizado como qualitativo/descritivo. A dissecação foi realizada semanalmente, durante o segundo semestre de 2018 e o primeiro semestre de 2019, com a supervisão do professor responsável e auxílio do técnico de laboratório, no Laboratório de aulas práticas da Universidade Estadual de Londrina (UEL). Considera-se que a dissecção da região anterolateral do pescoço permitiu a visualização de diversos nervos cutâneos e musculares do plexo cervical, assim como de alguns de seus ramos e suas relações anatômicas. Também contribuiu para o conhecimento da topografia em que se encontravam tais estruturas e sua organização em camadas. Esse conhecimento anatômico é essencial para a prática médica, tanto clínica quanto cirúrgica.

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Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial

Cited by 6 publications

References 24 publications

Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery

Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery

Effect of Bilateral Superficial Cervical Plexus Block on Postoperative Analgesic Consumption in Patients Undergoing Thyroid Surgery

Dissecção Do Plexo Cervical Na Formação Médica: Aplicabilidades Clínicas E Cirúrgicas

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