Efficacy of different doses of superficial cervical plexus block on pain after thyroid surgery Tiroid cerrahisi sonrası ağrıda farklı dozlarda yüzeyel servikal pleksus bloklarının etkinliği
Journal of Clinical and Analytical Medicine, cilt.8, sa.6, ss.496-500, 2017 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 8 Sayı: 6
- Basım Tarihi: 2017
- Doi Numarası: 10.4328/jcam.5241
- Dergi Adı: Journal of Clinical and Analytical Medicine
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.496-500
- Anahtar Kelimeler: Thyroid Surgery, Analgesia, Superficial Cervical Plexus Block, Bupivacaine, Ultrasound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: In this study, we aimed to compare the efficacies of two different doses of a local anesthetic(LA) in bilateral superficial cervical plexus block (BSCPB) for pain palliation after thyroid surgery. Material and Method: A total of 50 patients aged between 25 and 60 years, those who were in the American Society of Anesthesiologists (ASA) I-II class and underwent Thyroid surgery were included in the study. Patients were randomized to Group T (intravenous patient-controlled analgesia morphine (IV PCA) + BSCPB (%0.25 10 ml bupivacaine); (n=25) and Group F (IV PCA + BSCPB (%0.25 5 ml bupivacaine));(n=25). Visual Analogue Scale (VAS) and the quantity of morphine use were evaluated at the postoperative 2nd, 4th, 6th, 12th, and 24th hours follow-up. Secondary outcomes included the Ramsey sedation scale (RSS), side effect profile, and additional analgesic use. Results: The VAS scores at 2nd, 4th, 6th, 12th and 24th hours were found to be no statistically significant difference between groups (p>0.05). The amounts of PCA morphine consumption at the postoperative 24th hours were significantly lower in Group T than in Group F (p <0.05). No statistically significant difference was found in the rate of secondary outcomes between the groups (p>0.05). Discussion: We believe that BSCPB with two different doses of LA can be used for postoperative thyroid surgery pain.