scholarly journals Analgesic Efficacy of Ropivacaine With or Without Clonidine in Bilateral Superficial Cervical Plexus Block in Thyroid Surgeries

2016 ◽  
Vol 2 (5) ◽  
Author(s):  
Nanthaprabu Manthiramoorthy ◽  
Krishnakumar Srinivasagam ◽  
Sendilmurukan Mani ◽  
Heber Anandan
Keyword(s):  
Analgesic Efficacy ◽  
Cervical Plexus ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

scholarly journals ANALGESIC EFFICACY OF COMBINATION OF BILATERAL SUPERFICIAL CERVICAL PLEXUS BLOCK AND STANDARD ANALGESIA WITH STANDARD ANALGESIA ALONE IN PATIENTS UNDERGOING THYROID CANCER SURGERY. A RANDOMISED-CONTROLLED TRIAL

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Hammad Nabeel Najeeb ◽  
Ahsan Waqar Khan ◽  
Athar Mukhtar Siddiqui
Keyword(s):  
Thyroid Cancer ◽  
Controlled Trial ◽  
Analgesic Efficacy ◽  
Cervical Plexus ◽  
Group A ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Group B ◽  
Randomised Controlled ◽  
Plexus Block

Purpose: This study aimed to determine analgesic efficacy of a combination of bilateral superficial cervical plexus block (BLSCPB) and standard analgesia with standard analgesia alone in patients undergoing thyroid cancer surgery under general anaesthesia.Materials and Methods: It was a randomised-controlled trial conducted at the Anaesthesia Department of the Shaukat Khanum Memorial Cancer Hospital, Lahore. A sample size of 60 patients (30 patients in each group) was calculated with 95% confidence interval and power of 80%.Results: The mean pain-free duration for the Group A (BLSCPB group) was 72 min (SD 30.1) compared to 53 min (standard deviation 30.3) for the Group B. This shows a significant reduction in pain-free duration in Group A. Average NRS pain score in the Group A at q 0, 30, 60, 90 and 120 min was (0.83, 1.83, 0.23, 1.76 and 1.49), whereas the average pain score on NRS in the Group B at the same time interval mentioned above for Group A was (2.1, 2.73, 4.53, 2.44 and 1.85)Conclusion: Administration of BLSCPB resulted in superior analgesia after thyroid cancer surgery.Key words: Analgesia, cervical plexus block, post-operative pain, regional anaesthesia, thyroidectomy

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):  
Thyroid Surgery ◽  
Analgesic Efficacy ◽  
Block Group ◽  
Cervical Plexus ◽  
Analgesic Requirement ◽  
Analgesic Consumption ◽  
Group Time ◽  
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. 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.

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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