Bilateral superficial cervical plexus block combined with general anesthesia administered in thyroid operations.

World Journal of Surgery
Ming-Lang ShihChun-Chang Yeh

Abstract

We investigated the analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy and to determine whether it reduces the adverse effects of general anesthesia. We prospectively recruited 162 patients who underwent elective thyroid operations from March 2006 to October 2007. They were randomly assigned to receive a bilateral superficial cervical block (12 ml per side) with isotonic saline (group A; n = 56), bupivacaine 0.5% (group B; n = 52), or levobupivacaine 0.5% (group C; n = 54) after induction of general anesthesia. The analgesic efficacy of the block was assessed with: intraoperative anesthetics (desflurane), numbers of patients needing postoperative analgesics, the time to the first analgesics required, and pain intensity by visual analog scale (VAS). Postoperative nausea and vomiting (PONV) for 24 h were also assessed by the "PONV grade." We also compared hospital stay, operative time, and discomfort in swallowing. There were no significant differences in patient characteristics. Each average end-tidal desflurane concentration was 5.8, 3.9, and 3.8% in groups A, B, and C, respectively (p < 0.001). Fewer patients in groups B and C required analgesics (A: B: C = 33:8:7; p < 0.001)...Continue Reading

References

Nov 1, 1994·Acta Anaesthesiologica Scandinavica·Y GozalF Magora
Jan 1, 1994·Acta Anaesthesiologica Scandinavica·J B DahlH Kehlet
May 1, 1997·Journal of Clinical Anesthesia·L LacosteJ Fusciardi
Aug 1, 1997·Journal of Clinical Anesthesia·J M SonnerJ A Katz
Nov 30, 2006·Journal of Surgical Oncology·Nimmi AroraThomas J Fahey
Feb 6, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yoshitaka Fujii, Masahiro Nakayama
Nov 21, 2007·Thyroid : Official Journal of the American Thyroid Association·William B InabnetPrashant Sinha

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Citations

Jun 8, 2013·Thyroid : Official Journal of the American Thyroid Association·David J TerrisUNKNOWN American Thyroid Association Surgical Affairs Committee Writing Task Force
Dec 15, 2011·Polski przeglad chirurgiczny·Tomasz BanasiewiczMichał Drews
Mar 11, 2016·Indian Journal of Anaesthesia·B S Santosh, Sripada Gopalakrishna Mehandale
Jan 3, 2013·Pain Practice : the Official Journal of World Institute of Pain·Vilvapathy Senguttuvan KarthikeyanS Gopalakrishnan
Feb 19, 2015·British Journal of Anaesthesia·J KesslerM W Hollmann
Oct 27, 2014·Journal of Clinical Monitoring and Computing·Yavuz GürkanMine Solak
May 7, 2020·The Journal of Craniofacial Surgery·Ali Bestemi Kepekçi, Ahmet Hamdi Kepekçi
Feb 9, 2012·Anaesthesia and Intensive Care·Phillip J CowlishawMichael J Barrington
Aug 5, 2017·Acta Anaesthesiologica Scandinavica·D MussoØ Klaastad
Jul 15, 2021·American Journal of Surgery·Joana E OchoaJames X Wu
Jul 30, 2019·Annals of Surgery·Luis I RuffoloJacob Moalem

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