Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia

Andrieu, Guillaume P.; Amrouni, H.; Robin, Emmanuel; Carnaille, B.; Wattier, Jean-Michel; Pattou, François; Vallet, B.; Lebuffe, Gilles

doi:10.1093/bja/aem230

Cited by 105 publications

(94 citation statements)

References 21 publications

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“…All BSCPB administrations were performed by the same anaesthesia team after intubation using the same technique. Three-point injection technique was used for block administration (8). With this technique, after the head is turned facing the other side, a 22-gauge injector is inserted on the mid-point of the back verge of the sternocleidomastiod muscle, the injector is directed caudally, cephalically and horizontally (from sternocleidomastiod muscle) and 10 mL of 0.5% levobupivacaine hydrochloride (Chirocaine ® 0.5%, Abbot…”

Section: Approval Of Ethics Committee Was Received From 19mentioning

confidence: 99%

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Çanakçı¹,

Taş²,

Yağan³

et al. 2015

Ege Tıp Dergisi

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Aim: The purpose of this study was to assess the effect of bilateral superficial cervical plexus block (BSCPB), administered along with general anesthesia in total thyroidectomy surgical operations, on postoperative opioid consumption and the duration of hospital stay. Materials and Methods:A total of 150 patients who underwent total thyroidectomy surgical operations under general anesthesia and had or did not have bilateral superficial cervical plexus blockade (BSCPB), were prospectively evaluated in terms of their postoperative tramadol needs and durations of hospital stay. At the beginning of the surgical intervention after anesthesia induction, 75 patients who received BSCPB administered with a 0.5% of 20 mL levobupivacaine constituted the BSCPB group; on the other hand, 75 patients in the control group received only general anesthesia and no BSCPB was administered. Results: No statistically significant difference was found when age, gender, height, weight and ASA (American Society of Anesthesiologists) physical status classifications of patients in both groups were compared. Only 15 patients out of 75 patients in the BSCPB group (20%) had postoperative opioid needs, whereas this rate was determined as 85% in 64 patients out of 75 patients in the control group (p<0.05). Similarly, the tramadole consumption in the BSCPB group was significantly less when compared to the control group (p<0.05). Postoperative hospital stay in the BSCPB group (2.4±0.6) was also significantly less than that of the control group (4.7±1.6) (p<0.05) Conclusion: Bilateral superficial cervical plexus block administered along with general anesthesia in thyroidectomy operations considerably reduces pain and tramadol need in the postoperative period and lessens the duration of hospital stay.Keywords: Thyroidectomy, superficial cervical plexus block, opioid. Öz Amaç: Total tiroidektomi operasyonların da genel anesteziye ek olarak uygulanan bilateral yüzeyel servikal pleksus bloğu (BYSPB)'nun postoperatif opioid tüketimi ve hastanede yatış süresine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Genel anestezi altında total tiroidektomi operasyonu geçiren, bilateral yüzeyel servikal pleksus blokajı (BYSPB) yapılan ve yapılmayan toplam

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Section: Approval Of Ethics Committee Was Received From 19mentioning

confidence: 99%

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Çanakçı¹,

Taş²,

Yağan³

et al. 2015

Ege Tıp Dergisi

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“…Blok uygulamasında üç nokta enjeksiyon tekniği kullanılmıştır. 9 Bu teknikle baş karşı tarafa çevril-dikten sonra, 22 gauge iğne ile sternokleidomastoid kasın arka sınırının orta noktasından girip, iğne kaudale, sefaliğe ve horizontal (sternokleidomastoid kasının üzerinden) yönlendirilerek maksimum 1 cm derinlikte olacak şekilde boynun her iki tarafına 10'ar ml %0,5 levobupivakian infiltre edilmiş-tir.…”

Section: Gereç Ve Yöntemlerunclassified

Retrospective Evaluation of the Efficacy of Superficial Cervical Block on the Postoperative Use of Tramadol in Thyroid Surgery Under General Anesthesia

Tekgül¹,

Gönüllü²,

Şimşek³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…Bilateral superficial cervical plexus block (BSCPB) is reported to reduce postoperative pain and analgesic requirements after adult thyroid and carotid surgery. [1][2][3] Bilateral superficial cervical plexus block may also reduce postoperative analgesic requirements in children undergoing ear surgery. 4,5 A review of our experience with cochlear implantation identified a greater postoperative opioid consumption in children undergoing bilateral simultaneous cochlear implantation (BSiCI) when compared with children undergoing unilateral implants, and a suspicion arose that the greater analgesic requirement was a reflection of increased postoperative pain.…”

Section: Résumémentioning

confidence: 99%

Unexplained fever after bilateral superficial cervical block in children undergoing cochlear implantation: an observational study

Merdad

Crawford

Gordon

et al. 2011

Can J Anesth/J Can Anesth

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Purpose In an effort to decrease postoperative opioid requirements, intraoperative bilateral superficial cervical plexus block (BSCPB) was recently adopted for all our children undergoing general anesthesia for bilateral simultaneous cochlear implantation (BSiCI). Several cases of early postoperative fever were noted after the adoption of BSCPB. Our aim was to determine if an association exists between BSCPB and early postoperative fever in children undergoing BSiCI. As a secondary outcome, we studied the efficacy of BSCPB in altering postoperative analgesic requirements. Methods We conducted a retrospective cohort study of 91 consecutive children who underwent BSiCI. The series included 34 patients who received BSCPB (Block Group) and 57 patients who did not receive BSCPB (No-block Group). Results The median age (range) was 15.4 months (eight months -15 yr). A significant association was found between BSCPB and postoperative fever (P = 0.006). Eighteen (19.7%) children developed fever in the first 24 hr after surgery (Block Group: 12/34 [35%]; No-block Group: 6/57 [11%]; P = 0.006). The Block Group was 4.8 times more likely to develop early postoperative fever after adjusting for other variables (P = 0.004). The Block Group spent more days in hospital after surgery compared with the No-block Group (P = 0.043). Other vital signs showed no major deviation from the normal ranges, and daily physical examinations revealed no obvious source of infection in children who developed postoperative fever. Conclusion Bilateral superficial cervical plexus block may increase the risk of postoperative fever in children undergoing BSiCI. In this series, BSCPB was associated with a longer hospital admission. The etiology of the fever is undetermined, although it can be hypothesized that BSCPB resulted in unintended block of the phrenic nerves leading to diaphragmatic paralysis, atelectasis, and early postoperative fever in young children. RésuméObjectif Dans un effort visant a`diminuer les besoins postope´ratoires en morphiniques, le bloc bilate´ral perope´ratoire du plexus cervical superficiel (BSCPB) a e´teŕ e´cemment adopte´pour tous les enfants ayant une anesthe´sie ge´ne´rale pour implantation cochle´aire bilate´rale simultane´e (BSiCI). Plusieurs cas de fie`vre postope´ratoire pre´coce ont e´teć onstate´s apre`s l'adoption du BSCPB. Notre but e´tait de de´terminer s'il existe une association entre le BSCPB et la fie`vre postope´ratoire pre´coce chez des enfants subissant une BSiCI. Nous avons e´galement e´tudie´comme crite`re d'e´valuation secondaire l'efficacite´du BSCPB a`modifier les besoins en analge´siques postope´ratoires. Méthodes Nous avons mene´une e´tude de cohorte re´trospective sur 91 enfants conse´cutifs subissant une BSiCI. La se´rie a inclus 34 patients qui avaient eu un

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Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia

Abstract: BSCPB with ropivacaine and clonidine improved intraoperative analgesia. BSCPB with ropivacaine or ropivaciane and clonidine was effective in reducing analgesic requirements after thyroid surgery.

Cited by 105 publications

References 21 publications

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Retrospective Evaluation of the Efficacy of Superficial Cervical Block on the Postoperative Use of Tramadol in Thyroid Surgery Under General Anesthesia

Unexplained fever after bilateral superficial cervical block in children undergoing cochlear implantation: an observational study

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