Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries
Fathi, H., Zanfaly, H., Abdel Galil, M. (2023). Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries. EKB Journal Management System, 90(2), 2628-2633. doi: 10.21608/ejhm.2023.286410
Heba Mohammed Fathi; Hala Ibrahim Zanfaly; Mohammed Ezzat Abdel Galil. "Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries". EKB Journal Management System, 90, 2, 2023, 2628-2633. doi: 10.21608/ejhm.2023.286410
Fathi, H., Zanfaly, H., Abdel Galil, M. (2023). 'Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries', EKB Journal Management System, 90(2), pp. 2628-2633. doi: 10.21608/ejhm.2023.286410
Fathi, H., Zanfaly, H., Abdel Galil, M. Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries. EKB Journal Management System, 2023; 90(2): 2628-2633. doi: 10.21608/ejhm.2023.286410

Ultrasound Guided Bilateral Superficial Cervical Plexus Block Plus Tolerable Endotracheal Tube Versus Conventional Systemic Analgesia for Thyroid Surgeries

The Egyptian Journal of Hospital Medicine
Article 97, Volume 90, Issue 2, January 2023, Page 2628-2633  XML PDF (397.79 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.286410
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Authors
Heba Mohammed Fathi; Hala Ibrahim Zanfaly; Mohammed Ezzat Abdel Galil email
Abstract
Background: There is still debate over the use of regional anesthesia during thyroid surgeries.
Objective: This investigation looked at the effectiveness of an ultrasound-guided bilateral superficial cervical plexus block (BSCPB) combined with a tolerable endotracheal tube (TET) for reducing hemodynamic stress response and respiratory issues as well as controlling pain during and after surgery.
Methods: This prospective randomized controlled comparative clinical research was performed at the Department of Anesthesia, Surgical Critical Care and Pain Control in Zagazig University Hospitals. Patients were split into two groups: Group I (Control group, "C") where patients received general anesthesia with classic endotracheal tube (ETT) and systemic analgesia. Group II ("BSCPB+TET" "B") patients got ultrasound guided BSCPB then general anesthesia with TET. Results: Postoperative cough, bronchospasm, and sore throat were substantially distinct between the tested groups statistically. Group B had significantly less cough than group C. None of patients in group B had postoperative bronchospasm compared to 22.22% of patients in group C. Group B had significantly lower sore throat than group C
Conclusions: The use of BSCPB with TET in thyroid surgeries can achieve intraoperative hemodynamic stability, increase time for 1st analgesic request, decrease total dose of intraoperative and postoperative analgesic requirements and reduce the frequency of postoperative difficulties in patients undergoing elective thyroid surgeries.
 
 
Keywords
Thyroid Surgeries; BSCPB; TET
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