Ultrasound guided bilateral cervical plexus block reduces postoperative opioid consumption following thyroid surgery

Gürkan, Yavuz; Taş, Zafer; Toker, Kamil; Solak, Mustafa

doi:10.1007/s10877-014-9635-x

Cited by 49 publications

(45 citation statements)

References 24 publications

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“…Similarly, Gurkan et al’s4 study also concluded that US-guided bilateral superficial cervical plexus block has a significant analgesic effect in patients undergoing thyroid surgery.…”

Section: Introductionmentioning

confidence: 84%

“…However, the study by Eti et al11 showed that bilateral superficial cervical plexus block did not decrease analgesic requirement after thyroid surgery. Gurkan et al4 in their study concluded that ultrasound-guided bilateral superficial cervical plexus block had a significant analgesic effect in patients undergoing thyroid surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The procedures can be facilitated by ultrasound guidance or the conventional landmark (LM) technique. Ultrasound (US) guidance provides real-time visualization of anatomical structures and needle movement and has decreased the complication rates 2–4…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided bilateral superficial cervical plexus block is more effective than landmark technique for reducing pain from thyroidectomy

Senapathi¹,

Widnyana²,

Aribawa³

et al. 2017

JPR

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PurposeThyroidectomy causes postoperative pain and patient discomfort. Bilateral superficial cervical plexus block is a regional anesthesia technique that can provide analgesia during and after surgery. This study aims to compare the effectiveness of ultrasound (US)-guided versus landmark (LM) technique for bilateral superficial cervical plexus block in thyroidectomy.Patients and methodsThirty-six patients undergoing thyroidectomy were divided into two groups randomly (n=18); either US-guided (US group) or LM technique (LM group) for bilateral superficial cervical plexus block. Patient-controlled analgesia was used to control postoperative pain. Intraoperative opioid rescue, postoperative visual analog scale (VAS) score and opioid consumption were measured.ResultsThe number of patients who required intraoperative opioid rescue was significantly lower in the US group (p≤0.05). There was no significant difference in postoperative VAS score at 3 hours (p>0.05), but postoperative VAS score at 6 and 24 hours was significantly lower in the US group (p≤0.05). Twenty-four hour postoperative opioid consumption was significantly lower in the US group (p≤0.05).ConclusionUltrasound-guided bilateral superficial cervical plexus block is more effective in reducing pain both intra- and postoperatively compared with landmark technique in patients undergoing thyroidectomy.

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“…Similarly, Gurkan et al’s4 study also concluded that US-guided bilateral superficial cervical plexus block has a significant analgesic effect in patients undergoing thyroid surgery.…”

Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound-guided bilateral superficial cervical plexus block is more effective than landmark technique for reducing pain from thyroidectomy

Senapathi¹,

Widnyana²,

Aribawa³

et al. 2017

JPR

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show abstract

“…Similarly, Gurkan and colleagues [17] performed a study to assess the analgesic effect of US guided BSCPB in patients undergoing thyroid surgery; fifty patients were assigned to either SCPB or no block. Bilateral SCPB was done before surgery using US with 10 ml 0.25% bupivacaine for each side.…”

Section: Discussionmentioning

confidence: 99%

Analgesic efficacy of ultrasound guided versus landmark-based bilateral superficial cervical plexus block for thyroid surgery

Hassan

Hashim

2017

Egyptian Journal of Anaesthesia

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a b s t r a c tBackground: The use of bilateral superficial cervical plexus block (BSCPB) to provide analgesia for thyroid operations remains debatable. This study was done to assess the analgesic efficacy and safety of ultrasound (US) guided or landmark-based BSCPB, performed under general anesthesia, compared to systemic narcotics in thyroid surgery. Patients and methods: A total of 69 patients ASA I and II scheduled for thyroid surgery were randomly assigned into three groups (23 patients each): Group (US) received US guided BSCPB. Group (LM) received landmark-based BSCPB. In both groups, the block was performed under general anesthesia and before surgery using 0.5% bupivacaine 12 ml on each side. Group (C) who didn't receive any block. We measured intra-operative hemodynamics and fentanyl requirements. We also measured postoperative analgesia within 24 h of surgery as regard: pethidine consumption, visual analogue scale (VAS) pain scores and time to first rescue analgesic demand. Postoperative nausea and vomiting (PONV) and other adverse events were noted as well.Results: There was a significant reduction in systolic blood pressure (SBP) and heart rate (HR) in groups US and LM compared with group C. Intra-operative fentanyl requirements were significantly increased in group C compared to groups US and LM. Time to first analgesic request was significantly longer in groups US and LM than in group C. Postoperative pethidine consumption and VAS scores, measured during the first postoperative day, were significantly higher in group C than groups US and LM. No significant difference was noted between the three groups regarding PONV. No other adverse events were recorded. No significant differences were noted between groups US and LM. Conclusion: BSCPB (US guided or landmark-based), performed under general anesthesia, effectively decreased peri-operative analgesic requirements in thyroid operations. However, there was no significant difference in analgesic efficacy or safety between US guided and landmark based BSCPB.

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“…Hastaya sırtüstü pozisyonda ultrason eşliğinde 10 ml %0,25 bupivakain ve 10 ml %2 lidokain kullanılarak Gürkan ve ark. [3] tarif ettiği şekilde YSP uygulandı. USG'un lineer probu (10-18 MHz Esaote My Lab 5, Geneva, İtalya) kullanılarak pleksus, sternokleidomastoid kas (SKM)'in hemen derinlerinde küçük hipoekoik yapılar olarak görüntülendi (Şekil 1, 2a…”

Section: Olgu Sunumuunclassified

Superficial cervical plexus block in ear surgery: a case report

Türkyılmaz

Aksu

Gürkan

2018

Agri

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The aim of this study was to share our experience with the application of a superficial cervical plexus block in the ear operation of a 59-year-old male patient. The superficial cervical plexus provides sensory innervation of the superficial structures of the anterolateral neck, ear, and shoulder. Ultrasound-guided cervical plexus block may be an alternative method for both anesthesia and analgesia in ear surgery.

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Ultrasound guided bilateral cervical plexus block reduces postoperative opioid consumption following thyroid surgery

Cited by 49 publications

References 24 publications

Ultrasound-guided bilateral superficial cervical plexus block is more effective than landmark technique for reducing pain from thyroidectomy

Ultrasound-guided bilateral superficial cervical plexus block is more effective than landmark technique for reducing pain from thyroidectomy

Analgesic efficacy of ultrasound guided versus landmark-based bilateral superficial cervical plexus block for thyroid surgery

Superficial cervical plexus block in ear surgery: a case report

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