Comparison of Bilateral Superficial Cervical Plexus Block and Incision Line Infiltration for Postoperative Analgesia for Thyroid Surgeries Under General Anesthesia
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Introduction: Thyroid surgeries are usually performed under general anesthesia as it involves manipulation of the trachea.Studies comparing bilateral superficial cervical plexus block and incision line infiltration for postoperative analgesia in thyroid surgeries are sparse. Hence, we decided to evaluate the effect of BSCPB and incision line infiltration of local anaesthetic on post-operative VAS and analgesic requirements. Methods: After obtaining ethical clearance from the institutional ethical committee, 70 patients were randomly assigned to 2 groups of 35 patients each. Patient’s in group were administered BSCPB with 20 ml of 0.125% bupivacaine and 10 ml of normal saline along the line of incision. Patient’s in group I were administered BSCPB with 20 ml of normal saline and 10 ml of 0.25% bupivacaine along the line of incision. Intra-operatively requirement for analgesics were recorded. Results on continuous measurements are presented on Mean ± SD (Min-Max) and results on categorical measurements are presented in Number (%). Significance was assessed at 5% level of significance. Student t test (two tailed, independent) was used to find the significance of study parameters on continuous scale between two groups (Inter group analysis) on metric parameters. Results: Mean VAS scores obtained postoperatively to assess postoperative pain were slightly lower statistically significant in the 2nd, 12th and 24th hour. Requirement of inj paracetamol ande inj tramadol was not significantly different between the two groups. Vocal cord movement and the incidence of sore throat was comparable between the two groups. None of the patients in both the two groups had any episode of nausea or vomiting. Conclusion: We found that both BSCPB and incision line infiltration are effective methods for providing analgesia for thyroid surgeries. There is no difference between the requirement of analgesics or postoperative pain scores over a 24 hr period.
Authors and Affiliations
Nagaraj AV
Keywords
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- EP ID EP668088
- DOI 10.21088/ijaa.2349.8471.6419.44
- Views 83
- Downloads 0
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