Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries

Document Type : Original Article

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Abstract

Background: There is still debate over the use of regional anesthesia during thyroid surgeries.
Objective: This investigation looked at the effectiveness of an ultrasound-guided bilateral superficial cervical plexus block (BSCPB) combined with a tolerable endotracheal tube (TET) for reducing hemodynamic stress response and respiratory issues as well as controlling pain during and after surgery.
Methods: This prospective randomized controlled comparative clinical research was performed at the Department of Anesthesia, Surgical Critical Care and Pain Control in Zagazig University Hospitals. Patients were split into two groups: Group I (Control group, "C") where patients received general anesthesia with classic endotracheal tube (ETT) and systemic analgesia. Group II ("BSCPB+TET" "B") patients got ultrasound guided BSCPB then general anesthesia with TET. Results: Postoperative cough, bronchospasm, and sore throat were substantially distinct between the tested groups statistically. Group B had significantly less cough than group C. None of patients in group B had postoperative bronchospasm compared to 22.22% of patients in group C. Group B had significantly lower sore throat than group C
Conclusions: The use of BSCPB with TET in thyroid surgeries can achieve intraoperative hemodynamic stability, increase time for 1st analgesic request, decrease total dose of intraoperative and postoperative analgesic requirements and reduce the frequency of postoperative difficulties in patients undergoing elective thyroid surgeries.
 
 

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The Egyptian Journal of Hospital Medicine
Volume 90, Issue 2
January 2023
Pages 2628-2633

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