Bilateral Superficial Cervical Plexus Block in Thyroid Surgery with Intravenous versus Local Infiltration of Dexamethasone – A Randomized Single Blinded Comparative Study

Background: Post-operative pain for thyroid surgeries under general anaesthesia is inadequately managed. Bilateral superficial cervical plexus block (BSCPB) surgery causes adequate analgesia without any significant side effects. Dexamethasone commonly used in to prevent postoperative nausea and vomiting (PONV). The study objective was comparison of efficacy between add-on intravenously Ropivacaine alone bilateral versus added with the same producing preventing post-operative vomiting. Methods: Randomized single-blind clinical done on eighty patients 18-60 years either sex, ASA I II, scheduled elective anaesthesia. Patients were divided into two groups (n=40). In block, Group DB (n=40) had received 20 ml Inj. (0.25%) 2ml (8 mg) DI 20ml 2 distilled water, along IV water group group. Time rescue VAS (Visual Analogue Scale) score that moment incidence PONV noted up 24 hrs post-operatively. Results: No statistically difference found among respect time analgesia, PONV. Conclusion: From our study, we conclude different routes administration during BSCPB has no extra benefit surgery.