Abstract

Impact of an Intermediate Cervical Plexus Block on Per and Post Operative Opioids Consumption in Patients Scheduled for Total Thyroidectomy under General Anaesthesia: a Randomized Study

Highlights

  • The cervical block is one of the loco-regional anesthesia techniques described for thyroid surgery, both for anesthetic and analgesic goals [12]

  • The post-operative morphine titration request in Group 1 (GP1) was noted for 10 patients VS 21 in Group 2 (GP2)

  • Main objective was to determine the effect of the intermediate cervical plexus ultrasound-guided block, on the per-operative opioids consumption during thyroidectomy under general anesthesia

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Summary

Introduction

The cervical block is one of the loco-regional anesthesia techniques described for thyroid surgery, both for anesthetic and analgesic goals [12]. The intermediate cervical plexus block keeps its indications in this painful known surgery with postoperative pain scales ranging from 6 to 7/10 on a visual analogic scale [2]. Main objective was to determine the effect of the intermediate cervical plexus ultrasound-guided block, on the per-operative opioids consumption during thyroidectomy under general anesthesia. The secondary aims were to evaluate the impact on post operative morphine requirement, mains adverse effects and patient satisfaction. Ultrasound-guided intermediate cervical plexus block (ICB) recently described seems to be promising, we aim to clarify the contribution of this block on per-operative reduction of opioids consumption during thyroidectomy under general anesthesia and to determine post-operative morphine requirement, the resulting adverse effects and patient satisfaction

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