Role of superficial cervical plexus block in somatic referred cervical spine pain

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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Does Bilateral Superficial Cervical Plexus Block Decrease Analgesic Requirement After Thyroid Surgery?

Anesthesia & Analgesia ◽

10.1213/01.ane.0000202383.51830.c4 ◽

2006 ◽

Vol 102 (4) ◽

pp. 1174-1176 ◽

Cited By ~ 37

Author(s):

Zeynep Eti ◽

Pnar Irmak ◽

Bahadr M. Gulluoglu ◽

Manuk N. Manukyan ◽

F Ylmaz Gogus

Keyword(s):

Thyroid Surgery ◽

Cervical Plexus ◽

Analgesic Requirement ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

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Ultrasound guided selective cervical nerve root block and superficial cervical plexus block for surgeries on the clavicle

Indian Journal of Anaesthesia ◽

10.4103/0019-5049.135050 ◽

2014 ◽

Vol 58 (3) ◽

pp. 327 ◽

Cited By ~ 12

Author(s):

Harsha Shanthanna

Keyword(s):

Nerve Root ◽

Ultrasound Guided ◽

Cervical Plexus ◽

Cervical Nerve Root ◽

Cervical Nerve ◽

Nerve Root Block ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block ◽

Cervical Nerve Root Block

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Bilateral cervical plexus block for anterior cervical spine surgery: study protocol for a randomised placebo-controlled trial

Trials ◽

10.1186/s13063-021-05377-4 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Michael J. Mulcahy ◽

Thananchayan Elalingam ◽

Kevin Jang ◽

Mario D’Souza ◽

Matthew Tait

Keyword(s):

Cervical Spine ◽

Hospital Stay ◽

Controlled Trial ◽

Cervical Plexus ◽

Cervical Spine Surgery ◽

Quality Of Recovery ◽

Anterior Cervical Spine Surgery ◽

Cervical Plexus Block ◽

Plexus Block

Abstract Background There has been increasing focus to improve the quality of recovery following anterior cervical spine surgery (ACSS). Postoperative pain and nausea are the most common reasons for prolonged hospital stay and readmission after ACSS. Superficial cervical plexus block (SCPB) provides site-specific analgesia with minimal side effects, thereby improving the quality of recovery. The aim of our study was to investigate the effect bilateral cervical plexus block has on postoperative recovery in patients undergoing ACSS. Methods The study is a pragmatic, multi-centre, blinded, parallel-group, randomised placebo-controlled trial. 136 eligible patients (68 in each group) undergoing ACSS will be included. Patients randomised to the intervention group will have a SCPB administered under ultrasound guidance with a local anaesthetic solution (0.2% ropivacaine, 15mL); patients randomised to the placebo group will be injected in an identical manner with a saline solution. The primary outcome is the 40-item quality of recovery questionnaire score at 24 h after surgery. In addition, comparisons between groups will be made for a 24-h opioid usage and length of hospital stay. Neck pain intensity will be quantified using the numeric rating scale at 1, 3, 6 and at 24 h postoperatively. Incidence of nausea, vomiting, dysphagia or hoarseness in the first 24 h after surgery will also be measured. Discussion By conducting a blinded placebo trial, we aim to control for the bias inherently associated with a tangible medical intervention and show the true treatment effect of SCPB in ACSS. A statistically significant result will indicate an overall improved quality of recovery for patients; alternatively, if no benefit is shown, this trial will provide evidence that this intervention is unnecessary. Trial registration ClinicalTrials.gov ACTRN12619000028101. Prospectively registered on 11 January 2019 with Australia New Zealand Clinical Trials Registry

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