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PAIN MEDICINE

Does Bilateral Superficial Cervical Plexus Block Decrease Analgesic Requirement After Thyroid Surgery?

Zeynep Eti, MD, Pnar Irmak, MD, Bahadr M. Gulluoglu, MD, Manuk N. Manukyan, MD, and F. Ylmaz Gogus, MD

Departments of Anesthesiology and General Surgery, Breast and Endocrine Surgery Unit, Marmara University School of Medicine, Istanbul, Turkey

Address correspondence and reprint requests to Zeynep Eti, MD, Marmara University Hospital, Anesthesiology Department, Tophaneliolu Cad. No: 13-15, 34662 Altunizade, stanbul, Turkey. Address e-mail to emineeti{at}superposta.com.

In this randomized, double-blind and controlled study we evaluated and compared the analgesic efficacy of bilateral superficial cervical plexus block and local anesthetic wound infiltration after thyroid surgery. Forty-five patients were assigned to 3 groups. After general anesthesia induction, bilateral superficial cervical plexus block with 0.25% bupivacaine 15 mL in each side was performed in Group I, and local anesthetic wound infiltration with 0.25% bupivacaine 20 mL was performed in Group II. In Group III (control) no regional block was administered. Intravenous patient-controlled analgesia was used to evaluate postoperative analgesic requirement. Neither visual analog scale scores nor total patient-controlled analgesia doses were different among groups. We concluded that bilateral superficial cervical plexus block or local anesthetic wound infiltration with 0.25% bupivacaine did not decrease analgesic requirement after thyroid surgery.

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				G. Andrieu, H. Amrouni, E. Robin, B. Carnaille, J. M. Wattier, F. Pattou, B. Vallet, and G. Lebuffe Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia Br. J. Anaesth., October 1, 2007; 99(4): 561 - 566. [Abstract] [Full Text] [PDF]