Effect of bilateral superficial cervical block on postoperative analgesia in thyroid surgery performed under general anesthesia
Journal Title: Ege Tıp Dergisi - Year 2015, Vol 54, Issue 4
Abstract
Aim: The purpose of this study was to assess the effect of bilateral superficial cervical plexus block (BSCPB), administered along with general anesthesia in total thyroidectomy surgical operations, on postoperative opioid consumption and the duration of hospital stay. Materials and Methods: A total of 150 patients who underwent total thyroidectomy surgical operations under general anesthesia and had or did not have bilateral superficial cervical plexus blockade (BSCPB), were prospectively evaluated in terms of their postoperative tramadol needs and durations of hospital stay. At the beginning of the surgical intervention after anesthesia induction, 75 patients who received BSCPB administered with a 0.5% of 20 mL levobupivacaine constituted the BSCPB group; on the other hand, 75 patients in the control group received only general anesthesia and no BSCPB was administered. Results: No statistically significant difference was found when age, gender, height, weight and ASA (American Society of Anesthesiologists) physical status classifications of patients in both groups were compared. Only 15 patients out of 75 patients in the BSCPB group (20%) had postoperative opioid needs, whereas this rate was determined as 85% in 64 patients out of 75 patients in the control group (p<0.05). Similarly, the tramadole consumption in the BSCPB group was significantly less when compared to the control group (p<0.05). Postoperative hospital stay in the BSCPB group (2.4±0.6) was also significantly less than that of the control group (4.7±1.6) (p<0.05) Conclusion: Bilateral superficial cervical plexus block administered along with general anesthesia in thyroidectomy operations considerably reduces pain and tramadol need in the postoperative period and lessens the duration of hospital stay.
Authors and Affiliations
Ebru Çanakçı, Nilay Taş, Özgür Yağan, Tuğçe Genç
Different types of trochlear apparatus calcification: Evaluation with multidetector computed tomography (MDCT)
Aim: Trochlear apparatus calcification (TAC) can be an incidental finding in multidetector computed tomography (MDCT) scans. TAC may be misdiagnosed as a foreign body especially in trauma patients. In this study we aim t...
Tekrarlayan akciğer enfeksiyonunun nadir bir nedeni: Jeune sendromu
Otozomal resesif geçişli bir hastalık olan Jeune sendromu, birçok sistem tutulumu ile giden nadir bir iskelet displazisidir. Asfiktik torasik distrofi olarak da bilinen bu hastalıkta, solunum sıkıntısına yol açan çan şek...
Romatizmal hastalıklarda karıştırıcı faktör olarak fibromyalji
Fibromiyalji (FM) yorgunluk, kognitif bozukluk, psikiyatrik semptomlar ve çoklu somatik semptomların eşlik ettiği kronik yaygın kas-iskelet ağrısının başlıca nedenlerinden biridir. FM yaygın olarak romatizmal hastalıklar...
Squamous cell carcinoma arising from mature cystic teratoma fistulised to sigmoid colon
Mature cystic teratoma is the most common germ cell tumor of the ovary that generally occurs during reproductive period. Although mature cystic teratoma is a benign tumor, rarely (1-2%) it may show malignant transformati...
Rubella and cytomegalovirus seroprevalance among pregnant women admitted to Ege University Hospital
Aim: Primary infections caused by rubella and cytomegalovirus (CMV) can lead to serious complications in pregnancy. The purpose of this study was to determine seroprevalences of the rubella virus and CMV retrospectively,...