Bilateral Superficial Cervical Plexus Block: An Alternative to General Anaesthesia for Thyroid Surgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Background: General Anaesthesia with controlled ventilation is the conventional technique for thyroid surgery. But this surgery can also be performed under regional anaesthesia with conscious sedation. Aim- To observe the operative condition and patient safety for thyroid surgery performed under regional anaesthesia with conscious sedation. Method: This prospective observational cross-sectional study was done in 50 patient undergoing thyroid surgeries with bilateral superficial cervical plexus block (BLSCPB) with 12ml of 0.25% Bupivacaine for each side. Injection Midazolam 0.05 mg/ml was administered for conscious sedation. Results: Thyroidectomy was successfully performed in 44 patients under local anaesthesia. One patient experience seizure during infiltration of local anaesthetic and five patients needs conversion to general anaesthesia for inadequate block. Conclusion: Thyroidectomy can be safely performed by BLSCPB without any significant complications
Authors and Affiliations
Bikash Bisui, Sudip Kr Das, Susmita Bhattacharyya, Swastika Samanta, Pritam Chatterjee
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