Does Bilateral Superficial Cervical Plexus Block Decrease Analgesic Requirement After Thyroid Surgery?

Etı, Zeynep; Irmak, Pınar; Güllüoğlu, Bahadır M.; Manukyan, Manuk; Göğüş, F. Yılmaz

doi:10.1213/01.ane.0000202383.51830.c4

Cited by 74 publications

(65 citation statements)

References 9 publications

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“…After systematic bibliographic research, we found a few articles with controversial results evaluating the value of BSCPB when employed for thyroid surgery. [4][5][6][7][8] Several variables differ between these studies which make their meta-analysis impossible. Andrieu et al 4 did the BSCPB by using a 3-point injection technique, while the others used a 2-point technique;…”

Section: Discussionmentioning

confidence: 99%

Superficial selective cervical plexus block following total thyroidectomy: A randomized trial

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Superficial selective cervical plexus block following total thyroidectomy: A randomized trial

et al. 2009

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“…Thyroid surgery with a mean postoperative VAS score of 69 is considered to be moderately painful (13,14). Recent reports suggest that patients experience a significant amount of pain, especially in the early postoperative hours, despite modern and less invasive surgical techniques (13).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of wound infiltration with lornoxicam for postoperative analgesiafollowing thyroidectomy: a prospective, randomized, double-blind study

Kılbaş¹,

Mentes²,

Harlak³

et al. 2015

Turk J Med Sci

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Background/aim: Postoperative pain control constitutes a major problem and studies have focused on reducing opioid requirements using regional techniques. We aimed to investigate the efficacy of wound infiltration with lornoxicam on postoperative pain control following thyroidectomy. Materials and methods:In this prospective, randomized-controlled study, 80 patients scheduled for thyroidectomy were randomly assigned to 2 groups. After the thyroidectomy was performed, patients in group I underwent wound infiltration with 4 mg of lornoxicam and patients in group II received the same amount of saline. Rescue analgesia was provided with additional doses of lornoxicam delivered by an on-demand patient-controlled analgesia device. Total analgesic consumption during the postoperative 24 h, and pain intensities assessed using a visual analog scale score at 0, 2, 4, 8, 12 and 24 h postoperatively were recorded.Results: Pain scores during the postoperative 24 h were slightly lower in group I than in group II, but the difference was not significant (P > 0.05). The mean analgesic consumption was 8.87 ± 1.87 mg and 10.33 ± 1.25 mg in groups I and II, respectively (P > 0.05). Conclusion:Wound infiltration with lornoxicam neither improved postoperative pain control nor decreased total analgesic consumption.

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“…11 Also, in another study by Warschkow et al, the efficacy and safety of BSCPB in adjunct to GA was evaluated in thyroid surgery patients. 12 The risk of postoperative nausea and vomiting was also seen in patients who received BSCPB.…”

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confidence: 99%

Bilateral superficial cervical plexus block combined with general anaesthesia for thyroid surgery-a comparative study of intraoperative haemodynamic status and safety

2017

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Background: When general anaesthesia is employed for a surgery, the hemodynamic changes are intense during intubation, intraoperative stress and extubation. Hence, in the present study, by employing Bilateral Superficial Cervical Plexus Block using 0.5% Bupivacaine prior to skin incision, assessment of hemodynamic effects during intraoperative period is done. The aim of the study was to compare the intra operative hemodynamic status and the safety of bilateral superficial cervical plexus block with general anesthesia in thyroid surgerie. Methods: Bilateral superficial cervical plexus block was performed in patients undergoing simple thyroid surgery using normal saline in 29 control group patients and 0.5% Bupivacaine in 29 study group patients. Intraoperative hemodynamic status was monitored in both the groups using parameters such as heart rate, systolic blood pressure, diastolic blood pressure and mean blood pressure. Results: Hemodynamic parameters are not altered during the intraoperative period in the study and control group. Conclusions: Bilateral Superficial Cervical Plexus Block with bupivacaine did not alter the intraoperative hemodynamic parameters.

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Does Bilateral Superficial Cervical Plexus Block Decrease Analgesic Requirement After Thyroid Surgery?

Cited by 74 publications

References 9 publications

Superficial selective cervical plexus block following total thyroidectomy: A randomized trial

Superficial selective cervical plexus block following total thyroidectomy: A randomized trial

Efficacy of wound infiltration with lornoxicam for postoperative analgesiafollowing thyroidectomy: a prospective, randomized, double-blind study

Bilateral superficial cervical plexus block combined with general anaesthesia for thyroid surgery-a comparative study of intraoperative haemodynamic status and safety

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