Role of Bilateral ultrasound guided superficial cervical plexus block as a part of enhanced recovery after thyroid surgery

Methods: The current study was a prospective randomized controlled double blinded conducted at Tanta University Hospitals for patients admitted to undergo elective thyroid surgeries period of 9 months. Inclusion criteria were aged 21 -65 y and ASA physical status I or II, prepared operation encouraged contribute the cases divided 2 equal groups (50 each) in random manner: Group (Control group): Sham Technique: received general anaesthesia plus US guided Bilateral SCPB with 10 ml NaCl 0.9% injected on both sides. II (Study total volume containing Bupivacaine 0.25% (5 0.5%- 5-ml bilaterally).Results: Postoperative QOR-15 score significantly elevated group comparison I; P value less than 0.001. Time 1st rescue analgesia higher < VAS 30min, 2hrs, 4hrs 6 hrs II: nevertheless, no statistically significant differences found between 8hr, 10hr, 12hr, 18hr 24hr; 0.005. opioid consumption reduced I: 0.001.Pre post-operative values diaphragmatic excursion revealed that there either same groups. Conclusions: Patients undergoing surgery showed improved global quality recovery after preoperative BSCPB. It decreased POP score, diminished intraoperative analgesic consumption, postoperative morphine maintained excursion.