Bilateral Superficial Cervical Plexus Block: An Alternative to General Anaesthesia for Thyroid Surgery
نویسندگان
چکیده
Background: General Anaesthesia with controlled ventilation is the conventional technique for thyroid surgery. But this surgery can also be performed under regional anaesthesia with conscious sedation. AimTo observe the operative condition and patient safety for thyroid surgery performed under regional anaesthesia with conscious sedation. Method: This prospective observational cross-sectional study was done in 50 patient undergoing thyroid surgeries with bilateral superficial cervical plexus block (BLSCPB) with 12ml of 0.25% Bupivacaine for each side. Injection Midazolam 0.05 mg/ml was administered for conscious sedation. Results: Thyroidectomy was successfully performed in 44 patients under local anaesthesia. One patient experience seizure during infiltration of local anaesthetic and five patients needs conversion to general anaesthesia for inadequate block. Conclusion: Thyroidectomy can be safely performed by BLSCPB without any significant complications
منابع مشابه
Randomized controlled trial of bilateral superficial cervical plexus block versus placebo in thyroid surgery.
BACKGROUND Bilateral superficial cervical block during thyroid surgery can reduce postoperative pain but its value is unclear. This randomized clinical trial assessed the efficacy of such regional anaesthesia on postoperative pain after thyroid surgery performed under general anaesthesia. METHODS Patients undergoing thyroid surgery were randomized to one of four groups in a double-blind fashi...
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Background and Objectives: Patients undergoing thyroid surgery need postoperative pain management. Bilateral superficial cervical plexus block (BSCBs) has been shown to improve postoperative analgesia. The objective of this study was to assess its analgesic efficacy in the first 24 hours after thyroid surgery alone and when combined with bilateral deep cervical plexus block (BDCBs). Methods: We...
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متن کاملBilateral superficial cervical plexus block in combination with general anesthesia has a low efficacy in thyroid surgery: a meta-analysis of randomized controlled trials.
BACKGROUND A combination of bilateral superficial cervical plexus block (BSCPB) and general anesthesia is recommended for thyroid surgery. Proof of the efficacy of this combination remains weak. Furthermore, data on the safety of this regimen are lacking. Therefore, a meta-analysis of randomized controlled trials (RCT) to evaluate the efficacy and safety of BSCPB as an adjunct to general anesth...
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