The Bilateral Superficial Cervical Plexus Block With 0.75% Ropivacaine Administered Before or After Surgery Does Not Prevent Postoperative Pain After Total Thyroidectomy

Herbland, Alexandre; Cantini, Olivier; Reynier, Patrick; Valat, P; Jougon, Jacques; Arimone, Yannick; Janvier, G.

doi:10.1016/j.rapm.2005.10.008

Cited by 59 publications

(67 citation statements)

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“…While in postoperative blocks surgery may change the landmarks and dissection may cause local anaesthetic to leak into other facial planes. Herbland et al comparing the presurgical with postsurgical block found the two to be comparable but contrarily not highly efficacious in postthyroidectomy pain control [12]. Messner et al advised the use of presurgical block keeping in mind its preemptive effect [13].…”

Section: Discussionmentioning

confidence: 99%

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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

Kale

Shastri

et al. 2015

Indian J Surg

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Section: Discussionmentioning

confidence: 99%

“…Addition of adrenaline can not only prolong the effect of the block but also reduce the peak plasma levels of local anaesthetics [10,12]. Clonidine is also known to enhance the efficacy and duration of the block [14] and has been found to decrease postoperative nausea and vomiting [15].…”

Section: Discussionmentioning

confidence: 99%

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

Kale

Shastri

et al. 2015

Indian J Surg

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“…In our study, however, this alleged superiority of SCPB over GA was not confirmed, as the same number of patients requested analgesics. Herbland et al 9 reached a similar result when performing SCPB with ropivacaine 0.75%, before or after thyroidectomy in patients under GA; these authors found that the block did not reduce the need for postoperative analgesics.…”

Section: Discussionmentioning

confidence: 75%

Comparação da anestesia geral e bloqueio do plexo cervical superficial em tireoidectomias parciais

Mamede

Raful

2008

Rev. Bras. Otorrinolaringol.

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Thyroi dectomy under the effect of superficial cervical plexus block (SCPB) has met resistance. Aim: to compare variables in patients submitted to hemithyroidectomy under the effect of general anesthesia (GA) and SCPB. Case report and Methods: GA was used in 21 patients, and SCPB was used in another 21 patients. Following sedation, marcaine 0.5% with vasoconstrictor was used in the SCPB group. Intraoperative sedation with diazepam and metoprolol to control arterial pressure and cardiac frequency was given as needed. GA followed the standard method in the unit. Results: We found significant results (p<0.05, Student's ttest) for surgery time (GA -111.4 min; SCPB -125.5 min), anesthesia time (GA -154.1 min; SCPB -488.6 min), time in the surgery room (GA -15 min; SCPB -1 min), treatment costs (GA -R$203.2; SCPB -R$87.4), presence of bradycardia (GA -0; SCPB -23.8%) and laryngotracheal injury (GA -51; SCPB -0 %). We also found the following non-significant results: hospitalization time (GA -17.3; SCPB -15.1 hours); bleeding volume (GA -41,9 g; SCPB -47.6 g), size of the operative specimen (GA -52.1 cm3; SCPB -93.69 cm3) and patient satisfaction level (GA -3.8; SCPB -3.9). Conclusion: Although the incidence of bradycardia was higher (23.8%), SCPB was done for the resection of tumors measuring up to 348 cm3, at a lower cost and with no laryngotracheal injuries; these were present in 51% of patients undergoing GA.

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“…Herbland et al (24) obtained similar results for patients who received and did not receive bilateral superficial cervical plexus block in total thyroidectomy operations in terms of their analgesic needs and postoperative pain scores (24). Similarly in our study which we conducted for postoperative analgesic purpose, only 15 out of 75 patients in the BSCPB group (20%) had postoperative opioid need, whereas this rate was found to be 64 out of 75 patients (85%) in the control group (in which block administration was not performed) (85%) (p<0.05) and again, when we compared opioid consumption, the tramadole consumption in the BSCPB group was found to be significantly lower than the control group (p<0.05).…”

Section: Discussionmentioning

confidence: 82%

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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The Bilateral Superficial Cervical Plexus Block With 0.75% Ropivacaine Administered Before or After Surgery Does Not Prevent Postoperative Pain After Total Thyroidectomy

Abstract: Bilateral superficial cervical plexus block with 0.75% ropivacaine administered before or after surgery does not improve postoperative analgesia after total thyroidectomy.

Cited by 59 publications

References 20 publications

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

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

Comparação da anestesia geral e bloqueio do plexo cervical superficial em tireoidectomias parciais

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

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