Bilateral Superficial Cervical Plexus Block Reduces Postoperative Nausea and Vomiting and Early Postoperative Pain after Thyroidectomy

Hd, Cai; Cz, Lin; Yu, Chang‐Xi; Xz, Lin

doi:10.1177/147323001204000417

Cited by 28 publications

(21 citation statements)

References 26 publications

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“…Two recent RCTs have declared that wound infiltration lacks effectiveness for treating pain after thyroidectomy; even in addition of adrenaline [31,32]. The incidences of postoperative nausea and vomiting (PONV) after thyroidectomy ranges from 21.7% up to 84% [12,33]. We have assessed PONV with simplified PONV impact scale and the incidence of clinically important PONV was 27% in block group and 35.1% in non-block group but no statistically significant difference was observed.…”

Section: Discussionmentioning

confidence: 98%

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: Discussionmentioning

confidence: 98%

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

2020

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“…21,22 Since postoperative pain after START originates from multiple sites and is usually limited to the early postoperative period, 4,5 the proper choice of regional anesthesia with a single-shot technique corresponding to the pain sites is necessary. In the present study, unlike in a previous study, 4 we evaluated the effects of 2 different PNBs separately by comparing VAS scores between the block group and the control group, and we also evaluated the overall postoperative analgesic effect of both blocks after START by measuring the use of rescue analgesics.…”

Section: Discussionmentioning

confidence: 99%

Analgesic Effects of Ultrasound-Guided Serratus-Intercostal Plane Block and Ultrasound-Guided Intermediate Cervical Plexus Block After Single-Incision Transaxillary Robotic Thyroidectomy

Lee

Soh

Ahn

et al. 2016

Regional Anesthesia and Pain Medicine

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“…[18][19][20][21][22][23][24] Several studies have shown that the SCPB not only improves pain control after thyroidectomy and carotid endarterectomy, [18][19][20][21][22][23][24] but it also decreases PONV after thyroidectomy. 18 Nevertheless, we did not find any differences in postoperative opioid consumption between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial

Mariappan

Mehta

Massicotte

et al. 2015

Can J Anesth/J Can Anesth

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Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial L'effet d'un bloc du plexus cervical superficiel sur la qualité de la récupération postopératoire après une discectomie cervicale antérieure et fusion: une étude randomisée contrôlée Abstract Purpose Spine surgeries are increasingly being performed as a day or short-stay surgery programs. Peripheral nerve block provide site-specific pain relief with few side effects, thereby reducing surgical stress and enhancing quality of recovery. The aim of our study was to determine the effect of a superficial cervical plexus block (SCPB) on postoperative quality of recovery and analgesia in patients undergoing elective anterior cervical discectomy and fusion (ACDF). Methods After Research Ethics Board approval, we enrolled adults ([ 18 yr) scheduled for elective single-or two-level ACDF in this randomized double-blind clinical trial. Participants were randomized to receive either a SCPB (0.25% bupivacaine, 10 mL) or No Block. The primary outcome measure was the quality of recovery at 24 hr, measured using the 40-item quality of recovery questionnaire (QoR-40). In addition, comparisons between groups were also made for postoperative opioid consumption and discharge times. Results Forty-six patients were randomized to receive either a SCPB block (n = 23) or No Block (n = 23). Median [interquartile range] aggregated global QoR-40 scores at 24 hr were significantly greater in the SCPB group, indicating good quality of recovery compared with the No Block group (179 [116-195] vs 157 , respectively; median difference, 22; 95% confidence interval [CI], 7 to 34; P = 0.002]. There were no differences between the SCPB and the No Block group with regard to mean (standard deviation) postoperative opioid consumption at 24 hr [22.9 (13.6) mg vs 24.6 (9.5) mg, respectively; mean difference 1.7; 95% CI, -5.2 to 8.7; P = 0.620] and the number of patients discharged within 24 hr (15 vs 12, respectively; P = 0.550). Conclusion We showed that preoperative SCPB is an effective strategy for improving the early quality of recovery in patients undergoing single-or two-level ACDF. Nevertheless, there was no impact on opioid consumption or discharge times. This trial was registered at www.clinicaltrials.gov (NCT01662219). RésuméObjectif Les chirurgies de la colonne sont de plus en plus souvent réalisées en ambulatoire ou dans le cadre de programmes chirurgicaux de courte durée. Les blocs des nerfs périphériques procurent un soulagement de la douleur localisé et entraînent peu d'effets secondaires, Author contributions Ramamani Mariappan and Lashmi Venkatraghavan helped with the study design. Ramamani Mariappan, Jigesh Mehta, Eric Massicotte, and Pirjo Manninen helped conduct the study. Ramamani Mariappan and Jigesh Mehta contributed to the data entry. Ramamani Mariappan, Mahesh Nagappa, and Lashmi Venkatraghavan contributed to the data analysis. Ramamani Mariappan, Jigesh Mehta, Eric Massicott...

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Bilateral Superficial Cervical Plexus Block Reduces Postoperative Nausea and Vomiting and Early Postoperative Pain after Thyroidectomy

Abstract: BSCPB with 0.5% ropivacaine administered before surgery can significantly reduce the incidence of PONV and early postoperative pain and also reduce perioperative opioid requirements in thyroidectomy patients undergoing general anaesthesia.

Cited by 28 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

Analgesic Effects of Ultrasound-Guided Serratus-Intercostal Plane Block and Ultrasound-Guided Intermediate Cervical Plexus Block After Single-Incision Transaxillary Robotic Thyroidectomy

Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial

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