The analgesic efficacy of bilateral superficial cervical plexus block (ultrasound guided) versus local infiltration after thyroid surgeries under general anaesthesia | ||
| Benha Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 23 October 2025 PDF (714.96 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2025.393826.2467 | ||
| Authors | ||
| Ehab E. Afifi1; Elsayed M. Abdelzaam2; Zeyad M. El Bagoury3; Ahmed F. Abd Elhameed* 4 | ||
| 1Professor of Anaesthesia and Intensive Care, Faculty of Medicine, Benha University | ||
| 2Assistant Professor of Anaesthesia and Intensive Care, Faculty of Medicine, Benha University | ||
| 3Lecturer of Anaesthesia and Intensive Care, Faculty of Medicine, Benha University | ||
| 4(M.B.B.Ch, Faculty of Medicine, Benha University) | ||
| Abstract | ||
| Background: Thyroid operation has long been associated with postoperative pain, particularly during the initial recovery period. Optimal analgesia is thus crucial to enhance case comfort, reduce the use of opioid analgesics, and facilitate early discharge. Among regional techniques employed, bilateral superficial cervical plexus block (BSCPB) has gained popularity owing to its capability to provide selective and prolonged analgesia. With ultrasound guidance, the safety and efficacy of BSCPB may be further optimized. Alternatively, local wound infiltration with local anaesthetics is a simpler method but may offer limited duration of pain relief. Aim: was to compare the analgesic impact between BSCPB and local infiltration (LI) for thyroid surgeries under general anesthesia. Results: Both groups showed no significant differences in baseline characteristics, diagnosis, thyroid mass size, procedure duration, intraoperative heart rate, or mean arterial pressure. Group 1 had significantly diminished postoperative pain scores, delayed need for rescue analgesia, and reduced morphine use within 24 h contrary to Group 2.Group 1 also experienced less postoperative nausea and vomiting and elevated case satisfaction, with similar respiratory complications. Conclusion: Ultrasound-guided BSCPB provides superior postoperative analgesia contrary to LI in cases undergoing thyroid surgeries. | ||
| Keywords | ||
| Analgesia; Bupivacaine; Cervical plexus block; Thyroid surgeries; Ultrasound-guided anesthesia | ||
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