caa a22 4500 605510431 CHVBK 20210128100646.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10877-014-9635-x doi (NATIONALLICENCE)springer-10.1007/s10877-014-9635-x Ultrasound guided bilateral cervical plexus block reduces postoperative opioid consumption following thyroid surgery [Elektronische Daten] [Yavuz Gürkan, Zafer Taş, Kamil Toker, Mine Solak] Thyroid surgery may cause severe postoperative pain and discomfort for patients. Superficial cervical plexus block (SCPB) is one of the regional anesthesia techniques that can provide postoperative analgesia for thyroid surgery. The purpose of this study was to evaluate analgesic effect of ultrasound (US) guided SCPB in patients undergoing thyroid surgery. Fifty ASA I-II patients, aged 20-60, were included in this single blinded study. In a randomized and prospective manner patients were allocated to either SCPB or control group. Bilateral SCPB was performed preoperatively under US guidance using 10ml 0.25% bupivacaine for each side. Postoperative analgesia was provided with patient-controlled analgesia method with morphine intravenous. Primary outcome measure was postoperative opioid consumption and analyzed using Mann-Whitney U test. Secondary outcome measures were comparison of opioid side effects like nausea and vomiting and analyzed using Chi square test. VAS scores for pain at postoperative 1st, 6th, 12th, and 24thh were similar in SCPB and control groups (Median VAS values were 2.5, 3, 2, 0 and 3.5, 3, 2, 0 respectively). Postoperative morphine consumption was lower in SCPB group compared to control group at postoperative 6th, 12th, and 24thh (Median doses of morphine consumption were 4, 8, 9 and 5, 9, 11mg respectively) (P<0.05). Eight patients in the control group and six patients in the SCBP group had vomiting. Seven patients in the SCPB and none in the control group had hoarseness. Our study has shown that US guided SCPB has a significant analgesic effect in patients undergoing thyroid surgery. Further studies are required to search for the optimal LA dose during US guided SCPB. Springer Science+Business Media New York, 2014 Superficial cervical plexus block nationallicence Thyroid surgery nationallicence Postoperative analgesia nationallicence Morphine nationallicence Gürkan Yavuz Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut Taş Zafer Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut Toker Kamil Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut Solak Mine Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/5(2015-10-01), 579-584 1387-1307 29:5<579 2015 29 10877 https://doi.org/10.1007/s10877-014-9635-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9635-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gürkan Yavuz Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Taş Zafer Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Toker Kamil Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Solak Mine Kocaeli Üniversitesi Tıp Fakültesi Hastanesi, Umuttepe Kampüsü, 41380, Kocaeli, Turkey aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/5(2015-10-01), 579-584 1387-1307 29:5<579 2015 29 10877