scholarly journals Ultrasound-guided bilateral superficial cervical plexus block for thyroid surgery: The effect of dexmedetomidine addition to bupivacaine-epinephrine

2018 ◽  
Vol 12 (3) ◽  
pp. 412 ◽  
Author(s):  
AlaaEldin Adel Elmaddawy ◽  
AlaaEldin Mazy

Superficial cervical plexus block is a simple regional anesthesia procedure which can be performed by landmark guided as well as ultrasound-guided techniques. It has been used to provide anesthesia or analgesia for various procedures involving superficial surgeries in the neck and shoulder. The pain after thyroid surgery is of mild to moderate intensity and of short duration. I describe 12 cases in which bilateral superficial cervical plexus block was performed to conduct awake thyroid surgeries. Keywords: Thyroid surgery, Superficial cervical plexus block, regional anesthesia, neck surgeries, analgesia.


2006 ◽  
Vol 102 (4) ◽  
pp. 1174-1176 ◽  
Author(s):  
Zeynep Eti ◽  
Pnar Irmak ◽  
Bahadr M. Gulluoglu ◽  
Manuk N. Manukyan ◽  
F Ylmaz Gogus

Author(s):  
Nedumaran Velayutham ◽  
Selvaraju . ◽  
Shanmugavelu .

Background: When general anaesthesia is employed for a surgery, the hemodynamic changes are intense during intubation, intraoperative stress and extubation. Hence, in the present study, by employing Bilateral Superficial Cervical Plexus Block using 0.5% Bupivacaine prior to skin incision, assessment of hemodynamic effects during intraoperative period is done. The aim of the study was to compare the intra operative hemodynamic status and the safety of bilateral superficial cervical plexus block with general anesthesia in thyroid surgerie.Methods: Bilateral superficial cervical plexus block was performed in patients undergoing simple thyroid surgery using normal saline in 29 control group patients and 0.5% Bupivacaine in 29 study group patients. Intraoperative hemodynamic status was monitored in both the groups using parameters such as heart rate, systolic blood pressure, diastolic blood pressure and mean blood pressure.Results: Hemodynamic parameters are not altered during the intraoperative period in the study and control group.Conclusions: Bilateral Superficial Cervical Plexus Block with bupivacaine did not alter the intraoperative hemodynamic parameters.


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