Bilateral Superficial Cervical Plexus Block in Thyroid/Parathyroid Surgery
NCT ID: NCT04051099
Last Updated: 2021-05-24
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
52 participants
INTERVENTIONAL
2018-03-01
2021-12-15
Brief Summary
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Detailed Description
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This study evaluate whether regional anesthesia (RA) technique can be the alternative technique for thyroid/parathyroid surgery compare to conventional technique (GA).
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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bilateral cervical plexus block
bilateral superficial cervical plexus block with 0.25% bupivacaine 8 ml each (total 0.25% bupivacaine 16 mg)
Bilateral superficial cervical plexus block with 0.25% bupivacaine 8 ml each (total 16 ml)
bilateral superficial cervical plexus
Dexmedetomidine plus propofol infusion
Dexmedetomidine 0.5 ug/kg infusion in 10 min then 0.5 ug/kg/h, Propofol infusion
Local infiltraion analgesia
local infiltration analgesia with 2%lidocaine with adrenaline 5 ug/ml 10 ml
General anesthesia
General anesthesia with endotracheal intubation under total intravenous anesthesia (TIVA)
Dexmedetomidine plus propofol infusion
Dexmedetomidine 0.5 ug/kg infusion in 10 min then 0.5 ug/kg/h, Propofol infusion
Local infiltraion analgesia
local infiltration analgesia with 2%lidocaine with adrenaline 5 ug/ml 10 ml
General anesthesia with endotracheal tube
Induction with Propofol and intubation with cisatracurium
Interventions
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Bilateral superficial cervical plexus block with 0.25% bupivacaine 8 ml each (total 16 ml)
bilateral superficial cervical plexus
Dexmedetomidine plus propofol infusion
Dexmedetomidine 0.5 ug/kg infusion in 10 min then 0.5 ug/kg/h, Propofol infusion
Local infiltraion analgesia
local infiltration analgesia with 2%lidocaine with adrenaline 5 ug/ml 10 ml
General anesthesia with endotracheal tube
Induction with Propofol and intubation with cisatracurium
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Elective thyroidectomy, thyroid lobectomy, parathyroidectomy
Exclusion Criteria
* Allergy to local anaesthetic
* Known substernal, retroesophageal or retrotracheal goiter
* Thyroid cancer
* Previous neck exploration or neck radiation
* Recurrent laryngeal nerve paralysis
* BMI ≥ 30
18 Years
ALL
No
Sponsors
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Mahidol University
OTHER
Responsible Party
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Suwimon Tangwiwat
Assistant professor, Department of Anesthesiology
Principal Investigators
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Suwimon Tangwiwat, MD
Role: PRINCIPAL_INVESTIGATOR
Siriraj Hospital
Locations
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Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok Noi, Bangkok, Thailand
Countries
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Central Contacts
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Facility Contacts
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References
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Ueshima H, Hara E, Hiroshi O. RETRACTED: Successful cases of thyroid surgery performed under only bilateral cervical plexus blocks. J Clin Anesth. 2016 Nov;34:206. doi: 10.1016/j.jclinane.2016.04.014. Epub 2016 May 11. No abstract available.
Wang Q, Li Z, Xu S, Li Y, Zhang X, Liu Q, Xia Y, Papadimos TJ, Xu X. Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study. BMC Anesthesiol. 2015 Jan 19;15(1):4. doi: 10.1186/1471-2253-15-4. eCollection 2015.
Suh YJ, Kim YS, In JH, Joo JD, Jeon YS, Kim HK. Comparison of analgesic efficacy between bilateral superficial and combined (superficial and deep) cervical plexus block administered before thyroid surgery. Eur J Anaesthesiol. 2009 Dec;26(12):1043-7. doi: 10.1097/EJA.0b013e32832d6913.
Cai HD, Lin CZ, Yu CX, Lin XZ. Bilateral superficial cervical plexus block reduces postoperative nausea and vomiting and early postoperative pain after thyroidectomy. J Int Med Res. 2012;40(4):1390-8. doi: 10.1177/147323001204000417.
Ingsathit A, Thakkinstian A, Chaiprasert A, Sangthawan P, Gojaseni P, Kiattisunthorn K, Ongaiyooth L, Vanavanan S, Sirivongs D, Thirakhupt P, Mittal B, Singh AK; Thai-SEEK Group. Prevalence and risk factors of chronic kidney disease in the Thai adult population: Thai SEEK study. Nephrol Dial Transplant. 2010 May;25(5):1567-75. doi: 10.1093/ndt/gfp669. Epub 2009 Dec 27.
Spanknebel K, Chabot JA, DiGiorgi M, Cheung K, Lee S, Allendorf J, Logerfo P. Thyroidectomy using local anesthesia: a report of 1,025 cases over 16 years. J Am Coll Surg. 2005 Sep;201(3):375-85. doi: 10.1016/j.jamcollsurg.2005.04.034.
Yerzingatsian KL. Thyroidectomy under local analgesia: the anatomical basis of cervical blocks. Ann R Coll Surg Engl. 1989 Jul;71(4):207-10.
Other Identifiers
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Si 116/2018
Identifier Type: -
Identifier Source: org_study_id
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