General Combined Anesthesia in Combination with Superficial Cervical Plexus Block during Carotid Artery Surgery

Carotid artery surgery (CAS) performed under cervical plexus block is frequently associated with significant intra- and postoperative pain. To evaluate whether preoperative administration of ketorolac may improve analgesia in this type of surgery, 80 patients scheduled for CAS under cervical plexus block were randomly allocated to receive intravenously either 30 mg of ketorolac or placebo 30 minutes before surgery. Verbal rating scale pain scores during surgery and 3 and 6 hours after surgery, the number of patients requiring additional analgesia, and the total analgesic consumption both during and within 6 hours after surgery were significantly lower, whereas the time to first postoperative analgesia was significantly shorter in the ketorolac group than in the control group. The results of this prospective, randomized, double-blind study show that a single 30 mg dose of ketorolac administered intravenously 30 minutes before surgery reduces intraoperative pain and preempts postoperative pain in patients undergoing CAS under carotid plexus block.

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Superficial Cervical Plexus Block for Postoperative Analgesia

Case Medical Research ◽

10.31525/ct1-nct04036812 ◽

2019 ◽

Author(s):

Keyword(s):

Postoperative Analgesia ◽

Cervical Plexus ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

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Faculty of 1000 evaluation for Randomized clinical trial of intraoperative superficial cervical plexus block versus incisional local anaesthesia in thyroid and parathyroid surgery.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718177955.793489256 ◽

2014 ◽

Author(s):

Mario Salvi

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Local Anaesthesia ◽

Parathyroid Surgery ◽

Cervical Plexus ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

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Ultrasound-guided superficial cervical plexus block for analgesia in patients undergoing craniotomy via suboccipital retrosigmoid approach: study protocol of a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2019-034003 ◽

2020 ◽

Vol 10 (2) ◽

pp. e034003

Author(s):

Kun Peng ◽

Min Zeng ◽

Jia Dong ◽

Xiang Yan ◽

Dexiang Wang ◽

...

Keyword(s):

Nerve Block ◽

Rating Scale ◽

Numerical Rating Scale ◽

Controlled Trial ◽

Control Group ◽

Cervical Plexus ◽

Ethics Review ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

IntroductionScalp nerve block has been proven to be an alternative choice to opioids in multimodal analgesia. However, for the infratentorial space-occupying craniotomy, especially the suboccipital retrosigmoid craniotomy, scalp nerve block is insufficient.Methods and analysisThe study is a prospective, single-centre, randomised, paralleled-group controlled trial. Patients scheduled to receive elective suboccipital retrosigmoid craniotomy will be randomly assigned to the superficial cervical plexus block group or the control group. After anaesthesia induction, superficial cervical plexus nerve block will be performed under the guidance of ultrasound. The primary outcome is the cumulative consumption of sufentanil by the patient-controlled intravenous analgesia pump within 24 hours after surgery. Secondary outcomes include the cumulative consumption of sufentanil at other four time points and numerical rating scale pain severity score.Ethics and disseminationThe protocol (version number: 2.0, 10 April 2019) has been approved by the Ethics Review Committee of China Registered Clinical Trials (Ethics Review No. ChiECRCT-20190047). The findings of this study will be disseminated in peer-reviewed journals and at scientific conferences.Trial registration numberNCT04036812

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