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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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The Effectiveness of Bilateral Superficial Cervical Plexus Block as a Preemptive Analgesia in Thyroid Surgery Performed Under General Anaesthesia

Pramod Pandey, Muktesh Singh, Souryakant Varandani and Ritu Singh
Page: 757-762 | Received 17 Jul 2023, Published online: 04 Aug 2023

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https://doi.org/10.36478/10.59218/ makrjms.2023.757.762

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Abstract

The postoperative pain following thyroid surgery is generally characterised as moderate in intensity and brief in duration. The majority of trials demonstrated a statistically significant decrease in pain intensity and severity among patients who underwent bilateral superficial cervical plexus block (BSCPB). The aim of this study is to investigate and analyse the objectives. The objective of this study is to evaluate the analgesic efficacy of bilateral superficial cervical plexus block (BSCPB) in patients undergoing thyroid surgery. This randomized study was carried out in the Department of Anaesthesia, in tertiary care hospital of Central India over a period of one year. About 148 consented patients aged 18‐60 years belonging to ASA (American society of anaesthesiologists) grade I or II and posted for elective thyroid surgeries under general anaesthesia were included in the study. A total of 148 patients voluntarily participated in the study. Fifty percent of the participants were administered BSCPB with a 10 mL dosage of 0.25% bupivacaine immediately prior to induction, while the other fifty percent did not receive this treatment. Following the surgical procedure, patients underwent postoperative assessments at specific time intervals, including immediately after the procedure, as well as at the 2nd, 6th, 12th and 24th hrs. Significant reductions in NRS‐11 pain scores were observed in the block group at all endpoints. The duration until the first administration of analgesic medication was notably extended, with a mean time of 132.3±71.5 min compared to 71.4±60.0 min, resulting in a statistically significant difference (p = 0.009). It was concluded that the relationship between opioid usage and total analgesic medication in the context of postoperative nausea and vomiting (PONV) within a specific block group. There were no significant adverse events observed in relation to BSCPB.

How to cite this article:

Pramod Pandey, Muktesh Singh, Souryakant Varandani and Ritu Singh. The Effectiveness of Bilateral Superficial Cervical Plexus Block as a Preemptive Analgesia in Thyroid Surgery Performed Under General Anaesthesia.
DOI: https://doi.org/10.36478/10.59218/ makrjms.2023.757.762
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/ makrjms.2023.757.762