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Anesth Analg 2006;102:1174-1176
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000202383.51830.c4


PAIN MEDICINE

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

Zeynep Eti, MD, Pinar Irmak, MD, Bahadir M. Gulluoglu, MD, Manuk N. Manukyan, MD, and F. Yilmaz 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, Tophanelioglu Cad. No: 13-15, 34662 Altunizade, Istanbul, 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]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.