caa a22 4500 606207120 CHVBK 20210128101015.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10353-015-0322-z doi (NATIONALLICENCE)springer-10.1007/s10353-015-0322-z Bilateral superficial cervical plexus block combined with bilateral greater occipital nerve block reduces the impact of different sources of pain after thyroid surgery with less consumption of morphine-PCA: a randomized trial [Elektronische Daten] [F. Kılınçkan, F. Uzumcugil, M. Sayın, O. Ozlu, O. Bayir] Summary: Background: Our aim was to demonstrate the analgesic efficacy of the bilateral superficial cervical plexus block (BSCPB) combined with bilateral greater occipital nerve block (BGONB) on different sources of pain after thyroid surgery; in terms of pain scores and morphine-PCA consumption in the first 24h. Materials and method: Sixty patients were randomized into three groups; Group C (n = 20) to receive management without blocks; Group GS (n = 20), the combination of BSCPB and BGONB; and Group S (n = 20), BSCPB alone. Levobupivacaine of 0.25 % (15ml (each side) for BSCPB; 5ml (each side) BGONB) was used for nerve blocks. All patients received morphine-PCA for the first 24h postoperatively. In all, 0h, 1h, 2h, 4h, 6h, 12h, and 24h were the measurement times for incision pain at rest, pain on swallowing, headache, and posterior neck pain scores (VAS) and PONV. Requirement for rescue analgesics and 24h morphine consumption were recorded. Results: Incision pain scores at rest and on swallowing was lower in Groups GS and S (p  < 0.001). Posterior neck pain scores were lower in Group GS (p  < 0.001). Headache was similar in all groups, but the number of patients with pain scores VAS > 3 was lower in Group GS (p < 0.001). In Groups GS and S 24h morphine consumption was lower, compared to Group C (p  < 0.001). PONV and rescue analgesic use were similar. Conclusion: The combination of three-injection technique BSCPB with BGONB performed before surgical incision by using 0.25 % levobupivacaine, significantly reduced incision pain at rest, incision pain on swallowing, headache and posterior neck pain after thyroid surgery, while reducing morphine consumption in 24h postoperatively. Springer-Verlag Wien, 2015 Greater occipital nerve block nationallicence Morphine nationallicence Pain nationallicence Patient controlled analgesia nationallicence Superficial cervical plexus block nationallicence Tyroidectomy nationallicence Kılınçkan F. Anesthesiology and Reanimation Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut Uzumcugil F. Department of Anesthesiology and Reanimation, Hacettepe University School of Medicine, 06100, Sıhhıye/Ankara, Turkey aut Sayın M. Anesthesiology and Reanimation Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut Ozlu O. Department of Anesthesiology and Reanimation, Düzce University School of Medicine, Düzce, Turkey aut Bayir O. Ear, Nose and Throat Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut European Surgery Springer Vienna 47/4(2015-08-01), 181-187 1682-8631 47:4<181 2015 47 10353 https://doi.org/10.1007/s10353-015-0322-z 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/s10353-015-0322-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kılınçkan F. Anesthesiology and Reanimation Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Uzumcugil F. Department of Anesthesiology and Reanimation, Hacettepe University School of Medicine, 06100, Sıhhıye/Ankara, Turkey aut NATIONALLICENCE 700 1- Sayın M. Anesthesiology and Reanimation Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Ozlu O. Department of Anesthesiology and Reanimation, Düzce University School of Medicine, Düzce, Turkey aut NATIONALLICENCE 700 1- Bayir O. Ear, Nose and Throat Clinic, Turkish Ministry of Health Ankara Dişkapi Yildirim Beyazit Research and Teaching Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/4(2015-08-01), 181-187 1682-8631 47:4<181 2015 47 10353