Evaluation of the Analgesic Effect of Bilateral Superficial Cervical Plexus Block for Thyroid Surgery: A Comparison of Presurgical with Postsurgical Block

Kale, Suniti; Sk, Aggarwal; Shastri, Vineet; Chintamani,

doi:10.1007/s12262-015-1244-5

Cited by 20 publications

(37 citation statements)

References 17 publications

(19 reference statements)

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“…Time to first analgesic requirement was nearly by doubled in the block group (132.31 ± 71.46 vs 71.4 ± 59.99, p = 0.009). Multiple studies have investigated the effectiveness of BSCPB in thyroid surgery and reported that it was effective in minimizing pain scores, opioid and total analgesic consumption and prolonging analgesia duration [12,13,20,21]. A meta-analysis of 14 studies incorporated 1154 patients revealed BSCPB significantly reduced analgesic requirement, VAS scores and lengthen time to first analgesic request [14].…”

Section: Discussionmentioning

confidence: 99%

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Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

Berhe

Hailekiros

Fitwi

2019

Preprint

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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. 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 hours. At all endpoints, NRS-11 scores for pain were significantly lower in the block group. Time to first analgesic requirement was significantly longer 132.31 ± 71.46 vs 71.4 ± 59.99, 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: 99%

“…Studies reported that the block allowed to reduce anesthetic requirements and provided prolonged postoperative analgesia. It also decreased pain score, rescue analgesic requirement and overall opioid requirement in the first 24 postoperative hours [12][13][14]. Hence, it minimizes opioids related adverse outcomes and cost [15].…”

Section: Introductionmentioning

confidence: 99%

Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

Berhe

Hailekiros

Fitwi

2019

Preprint

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“…Kale and colleagues [1] randomly allocated sixty patients to receive BSCPB either before surgery (group A) or after completion of surgery (group B) or control group who received only systemic narcotics (group C). They found that Patients who were given BSCPB (groups A and B) had significant lower VAS pain scores (at rest, vocalization, movement and swallowing) compared to control group.…”

Section: Discussionmentioning

confidence: 99%

“…These changes may result in stimulation and enhancement of pain transmission and perception. Accordingly, postoperative analgesia should be considered before the start of surgery, together with intraoperative analgesia [1].…”

Section: Introductionmentioning

confidence: 99%

“…Non-steroidal anti-inflammatory drugs (NSAIDS) may not produce effective pain relief and at the same time may increase the risk of postoperative bleeding with the thyroid being a highly vascular organ. On the other hand, opioid analgesics may increase the risk of postoperative nausea and vomiting (PONV) or produce postoperative respiratory depression [1].…”

Section: Introductionmentioning

confidence: 99%

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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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Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

Admiraal,

Marhofer,

Hopkins

et al. 2024

British Journal of Anaesthesia

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Evaluation of the Analgesic Effect of Bilateral Superficial Cervical Plexus Block for Thyroid Surgery: A Comparison of Presurgical with Postsurgical Block

Abstract: Bilateral superficial cervical plexus block may help in reduction of postthyroidectomy pain.

Cited by 20 publications

References 17 publications

Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia; a prospective cohort study

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

Peripheral regional anaesthesia and outcomes: a narrative review of the literature from 2013 to 2023

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