Ultrasound Guided Bilateral Superficial Cervical Plexus Block in Patients Undergoing Total Thyroidectomy.

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-01

Study Completion Date

2021-05-15

Brief Summary

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The present study compared the efficacy of bilateral superficial cervical plexus block (BSCPB) versus local wound infiltration (LWI) regarding the postoperative opioid consumption in patients undergoing total thyroidectomy

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Detailed Description

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We performed a double-blind, randomised, controlled trial that recruited patients undergoing total thyroidectomy at the Suez Canal University Hospital during the period between February 2019 and January 2021. Patients were eligible if they were older than 20 years, had an American Association of Anesthesiologists' (ASA) level of I-II, and were scheduled for total thyroidectomy. We excluded patients with documented allergies to the study's intervention materials, moderate-to-severe obesity, \> 1st-degree heart block, chronic pulmonary or cardiac diseases, hepatic or renal dysfunction, and/or coagulopathies. All patients were required to fill out informed consent before enrollment.

Eligible patients were randomly allocated in a 1:1 ratio to receive BSCPB or LWI using the computer software program (www. Randmizer.org) and allocation sequences were done using opaque, closed envelopes. The BSCPB group received BSCBP (after general anaesthesia but before the start of surgery) from two syringes containing ropivacaine 0.5 % and LWI with saline. The LWI group received LWI with ropivacaine 0.5% and the BSCPB from two syringes containing saline.

The primary outcome of the present study was postoperative opioid consumption in the first postoperative day. The secondary outcomes included the total intraoperative fentanyl and isoflurane consumption, time to first required analgesic, and VAS during the first 24 hours postoperatively.

Conditions

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Analgesia Obtained With a Local Wound Infiltration of Lidocain Analgesia Obtained With a Ultrasound Guided Cervical Plexus Block Using Lidocain Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A Randomized Controlled Study

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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bilateral superficial cervical plexus block (BSCPB)

Analgesia obtained by a ultrasound guided cervical plexus block using lidocain

Group Type ACTIVE_COMPARATOR

Block type

Intervention Type PROCEDURE

Regular block type

local wound infiltration (LWI)

Analgesia obtained by local wound infiltration of lidocain

Group Type ACTIVE_COMPARATOR

Block type

Intervention Type PROCEDURE

Regular block type

Interventions

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Block type

Regular block type

Intervention Type PROCEDURE

Other Intervention Names

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Ultrasound guided bilateral superficial cervical plexus nerve block

Eligibility Criteria

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Inclusion Criteria

ASA I-II, and were scheduled for total thyroidectomy

\-

Exclusion Criteria

documented allergy to study's intervention, moderate-to-severe obesity, \> 1st-degree heart block, chronic pulmonary or cardiac diseases, hepatic or renal dysfunction, and/or coagulopathies.

All patients were required to fill the informed consent before enrollment.

Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No