caa a22 4500 606248285 CHVBK 20210128101349.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1244-5 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1244-5 Evaluation of the Analgesic Effect of Bilateral Superficial Cervical Plexus Block for Thyroid Surgery: A Comparison of Presurgical with Postsurgical Block [Elektronische Daten] [Suniti Kale, Shipra Aggarwal, Vineet Shastri, Chintamani,] Bilateral superficial cervical plexus block may help in reduction of postthyroidectomy pain. The aim of this study was to evaluate the influence of bilateral superficial cervical plexus block (BSCB) given either presurgically or postsurgically on analgesia in postthyroidectomy patients. Sixty adult euthyroid patients were randomly allocated to one of the three groups, to receive BSCB either presurgically (group A) or postsurgically (group B). Both of the above groups were compared with parenteral analgesics (group C). Thyroid surgery was performed according to a standardised procedure. Postoperative pain was assessed by visual analog scale (VAS), with 10 being the worst pain and 0 being no pain, when patient was fully awake and extubated (0) and after 1, 2, 4, 8, 12, 18, 24, 36 and 48h. VAS was assessed at four phases: at rest, neck movements, vocalisation and swallowing. Total use of intraoperative fentanyl was noted. The time for first rescue analgesic was also noted. There was no significant statistical difference amongst three groups as regards demographic data and duration of surgery. Patients given BSCBs (either presurgically or postsurgically) had significant lower VAS at all four phases of pain assessment as compared to group C. The time for first rescue analgesia was the earliest in group C. We concluded that BSCB whether given presurgically or postsurgically significantly reduce pain intensity and opioids requirement in postoperative period after thyroid surgery. Association of Surgeons of India, 2015 Bilateral superficial cervical plexus nerve block nationallicence Thyroid surgery nationallicence VAS nationallicence Analgesia nationallicence Presurgical and postsurgical nationallicence Kale Suniti Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut Aggarwal Shipra Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut Shastri Vineet Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut Chintamani, Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 1196-1200 0972-2068 77<1196 2015 77 12262 https://doi.org/10.1007/s12262-015-1244-5 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/s12262-015-1244-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kale Suniti Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut NATIONALLICENCE 700 1- Aggarwal Shipra Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut NATIONALLICENCE 700 1- Shastri Vineet Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut NATIONALLICENCE 700 1- Chintamani Department of Anesthesiology and Intensive Care, Safdarjung Hospital, 110029, New Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1196-1200 0972-2068 77<1196 2015 77 12262