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

Abstract

Two-point bilateral BSCPB has a major analgesic effect on patients after total thyroidectomy, with a statistically significant reduction in postoperative pain scores. However, no significant difference was noted in the proportion of patients that required additional analgesics.

Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery: meta-analysis and systematic review

“…All trials were RCTs. Study quality (Jadad score) was !3 in 11 studies, 10e13,15e17, 19,20,24,25 and 2 in the remaining three. 14,18,23 Patients were blinded to the block except in the five studies where the control was no block, without a sham injection.…”

“…Five trials defined it as requiring a dose of morphine within the first 24 h, 12e14,18,24 two as requiring paracetamol, 10,15 one as requiring meperidine, 16 and three that described 'rescue analgesia' but did not specify a drug. 11,17,19 The number of patients requiring postoperative rescue analgesia was significantly lower in the BSCPB group compared with the control group during the first 24 h (OR: 0.30; 95% CI: 0.18, 0.51; P<0.00001). A subgroup analysis of analgesic requirements between preoperative and postoperative BSCPB was performed.…”

“…10e16 The two-point injection trials describe heterogenous techniques. 17e19 Shih and colleagues 17 describe a horizontal injection and a caudal injection, Herbland and colleagues 18 describe a traditional cranial and caudal injection strategy, and Kesisoglou and colleagues 19 describe a cranial and medial pattern.…”

Minimally invasive video‐assisted total thyroidectomy: An easy to learn technique for skillful surgeons

“…Anesthesia was standardized following the protocol proposed by Andrieu et al 10 For all patients, superficial selective cervical plexus block was performed following our protocol. 11 Conversion was defined as extending the skin incision to >2.5 cm.…”

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

“…4,5,9,16 Bizim çalış-mamızın, genel anesteziyle beraber uygulanan BYSPB'nin, hem postoperatif analjezik gereksinimini azalttığını hem de hastanede kalış süresini kı- 17 Çalışmalar arasındaki bu farklı sonuçların sebebi olarak; uygulanan BYSPB tekniği-nin ve kullanılan lokal anesteziğin farklı olması, postoperatif analjezik gereksinimi için ölçümlerin farklı olması, yetersiz örnekleme gibi faktörlerin etkili olabileceğini ve bu konuda daha fazla çalışma yapılması gerektiğini düşünüyoruz.…”