scholarly journals Bilateral Superficial Cervical Plexuses Block Combined With General Anesthesia for Elective Thyroid Surgery

2017 ◽  
Vol 4 (3) ◽  
pp. 1-6
Author(s):  
Fentahun  Tarekegn ◽  
Setegn Eshetie ◽  
Amare Hailekiros
Keyword(s):  
General Anesthesia ◽  
Thyroid Surgery

scholarly journals Comparison of Cervical Epidural Anesthesia and General Anesthesia for Thyroid Surgery

2014 ◽  
Vol 6 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Shamna Mohammed ◽  
Nivedita Pereira
Keyword(s):  
Prospective Study ◽  
General Anesthesia ◽  
Epidural Anesthesia ◽  
Thyroid Surgery ◽  
Economic Feasibility ◽  
Teaching Hospitals ◽  
Volume Loss ◽  
Hemodynamic Stability ◽  
A Prospective Study ◽  
National Trends

ABSTRACT Introduction National trends are showing statistically significant increase in the thyroid surgeries being performed by otorhinolaryngologist surgeons. There is a rising interest among the otorhinolaryngology surgeons subspecializing in head and neck surgeries to increase the horizons in the advancements in thyroid surgeries. Cervical epidural anesthesia (CEA) for thyroid surgeries is gaining popularity over general anesthesia (GA) for the various advantages it offers. Objective This prospective study was designed to evaluate the effectiveness and ease of thyroidectomy under CEA as compared to GA. Materials and methods A prospective study of total of 30 patients undergoing thyroid surgery from two teaching hospitals. They were randomly allotted into CEA and GA groups of 15 members each. Results In the CEA group, postoperative comfort and economic feasibility were found to be better compared to GA group. The blood volume loss was lesser in the CEA group. The CEA group also offered the added advantage of vocal cord monitoring by voice contact during the surgery. Both the CEA and GA group maintained hemodynamic stability. There were no complications in both the groups. Conclusion Even though thyroid surgery is currently being performed mostly under GA, CEA must be considered for thyroid surgeries routinely. CEA offers a number of advantages of GA in selected cases. This study has proved that CEA has distinct advantages over GA in thyroidectomies. Considering the ease and effectiveness of CEA, it is as good as GA, if not better, even in routine thyroidectomies. How to cite this article Mohammed S, Santosh UP, Pereira N. Comparison of Cervical Epidural Anesthesia and General Anesthesia for Thyroid Surgery. Int J Otorhinolaryngol Clin 2014;6(1):1-4.

scholarly journals Comparison of Cervical Epidural Anesthesia and General Anesthesia for Thyroid Surgery

2014 ◽  
Vol 6 (2) ◽  
pp. 24-27
Author(s):  
Shamna Mohammed
Keyword(s):  
Prospective Study ◽  
General Anesthesia ◽  
Epidural Anesthesia ◽  
Thyroid Surgery ◽  
Economic Feasibility ◽  
Teaching Hospitals ◽  
Volume Loss ◽  
Hemodynamic Stability ◽  
A Prospective Study ◽  
National Trends

ABSTRACT Introduction National trends are showing statistically significant increase in the thyroid surgeries being performed by otorhinolaryngologist surgeons. There is a rising interest among the otorhinolaryngology surgeons subspecializing in head and neck surgeries to increase the horizons in the advancements in thyroid surgeries. Cervical epidural anesthesia (CEA) for thyroid surgeries is gaining popularity over general anesthesia (GA) for the various advantages it offers. Objective This prospective study was designed to evaluate the effectiveness and ease of thyroidectomy under CEA as compared to GA. Materials and methods A prospective study of total of 30 patients undergoing thyroid surgery from two teaching hospitals. They were randomly allotted into CEA and GA groups of 15 members each. Results In the CEA group, postoperative comfort and economic feasibility were found to be better compared to GA group. The blood volume loss was lesser in the CEA group. The CEA group also offered the added advantage of vocal cord monitoring by voice contact during the surgery. Both the CEA and GA group maintained hemodynamic stability. There were no complications in both the groups. Conclusion Even though thyroid surgery is currently being performed mostly under GA, CEA must be considered for thyroid surgeries routinely. CEA offers a number of advantages of GA in selected cases. This study has proved that CEA has distinct advantages over GA in thyroidectomies. Considering the ease and effectiveness of CEA, it is as good as GA, if not better, even in routine thyroidectomies.

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

2019 ◽  
Author(s):  
Yophtahe Woldegerima ◽  
Amare G. Hailekiros ◽  
Girmay L. Fitwi
Keyword(s):  
General Anesthesia ◽  
Thyroid Surgery ◽  
Analgesic Efficacy ◽  
Block Group ◽  
Cervical Plexus ◽  
Analgesic Requirement ◽  
Analgesic Consumption ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

Abstract 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 hours. At all endpoints, NRS-11 scores for pain were significantly lower in the block group. Time to first analgesic requirement was significantly longer 132.3 ± 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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