Randomized controlled trial of bilateral superficial cervical plexus block versus placebo in thyroid surgery

@article{Steffen2010RandomizedCT,
  title={Randomized controlled trial of bilateral superficial cervical plexus block versus placebo in thyroid surgery},
  author={Thomas Steffen and R. Warschkow and Michael Br{\"a}ndle and Ignazio Tarantino and Thomas Clerici},
  journal={British Journal of Surgery},
  year={2010},
  volume={97}
}
Bilateral superficial cervical block during thyroid surgery can reduce postoperative pain but its value is unclear. This randomized clinical trial assessed the efficacy of such regional anaesthesia on postoperative pain after thyroid surgery performed under general anaesthesia. 
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38 Citations
Highly Influential Citations
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Methods Citations
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Results Citations
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38 Citations

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Randomized clinical trial of intraoperative superficial cervical plexus block versus incisional local anaesthesia in thyroid and parathyroid surgery
TLDR
A randomized clinical trial was performed to investigate whether intraoperative superficial cervical plexus block (SCPB) would decrease postoperative pain and analgesia use.
Randomized Controlled Trial on the Efficacy of Bilateral Superficial Cervical Plexus Block in Thyroidectomy
TLDR
The efficacy of BSCPB with 0.25% bupivacaine with and without clonidine in thyroidectomy is compared, as preventative analgesia.
Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery: meta‐analysis and systematic review
Impact of an Intermediate Cervical Plexus Block on Per and Post Operative Opioids Consumption in Patients Scheduled for Total Thyroidectomy under General Anaesthesia: a Randomized Study
The cervical block is one of the loco-regional anesthesia techniques described for thyroid surgery, both for anesthetic and analgesic goals [12]. The intermediate cervical plexus block keeps its…
The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study
TLDR
Opioid and total analgesic consumption were reduced by BSCPB in the first 24 postoperative hours and there was low but non-significant rate of PONV in the block group.
Bilateral superficial cervical plexus block in combination with general anesthesia has a low efficacy in thyroid surgery: a meta-analysis of randomized controlled trials.
TLDR
The combination of BSCPB and general anesthesia has a significant benefit in reducing pain 6 and 24 hours after thyroid surgery, however, the effect on pain reduction is too small to be of clinical relevance.
Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial
Bilateral superficial cervical plexus block for transoral endoscopic thyroidectomy (vestibular approach): a randomized controlled study
TLDR
Bilateral superficial cervical plexus block provided effective analgesia after transoral endoscopic thyroidectomy, which results in more patient satisfaction and less hospital stay and is more observed in group GB.
Ultrasound guided bilateral cervical plexus block reduces postoperative opioid consumption following thyroid surgery
TLDR
It is shown that US guidedSCPB has a significant analgesic effect in patients undergoing thyroid surgery, and further studies are required to search for the optimal LA dose during US guided SCPB.
Analgesic efficacy of ultrasound guided versus landmark-based bilateral superficial cervical plexus block for thyroid surgery
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References

SHOWING 1-10 OF 22 REFERENCES
Does Bilateral Superficial Cervical Plexus Block Decrease Analgesic Requirement After Thyroid Surgery?
TLDR
It is concluded that bilateral superficial cervical plexus block or local anesthetic wound infiltration with 0.25% bupivacaine did not decrease analgesic requirement after thyroid surgery.
Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia.
TLDR
BSCPB with ropivacaine or roPivaciane and clonidine was effective in reducing analgesic requirements after thyroid surgery, and improved intraoperative analgesia.
Prevention of Postoperative Pain After Thyroid Surgery: A Double-Blind Randomized Study of Bilateral Superficial Cervical Plexus Blocks
TLDR
It is concluded that bilateral superficial cervical plexus blocks significantly reduce pain intensity in the postoperative period after thyroid surgery but do not provide optimal pain relief alone.
The Bilateral Superficial Cervical Plexus Block With 0.75% Ropivacaine Administered Before or After Surgery Does Not Prevent Postoperative Pain After Total Thyroidectomy
The Analgesic Efficacy of Bilateral Combined Superficial and Deep Cervical Plexus Block Administered Before Thyroid Surgery Under General Anesthesia
TLDR
It is concluded that combined deep and superficial cervical plexus block is an effective technique to alleviate pain during and immediately after thyroidectomy.
Bilateral cervical plexus block for thyroidectomy and parathyroidectomy in healthy and high risk patients
TLDR
It is indicated that regional anesthesia is an appropriate alternative to general anesthesia in selected patients undergoing thyroid and parathyroid surgery and did not compromise respiratory function.
Superficial vs combined cervical plexus block for carotid endarterectomy: a prospective, randomized study.
Comparison between general anesthesia and superficial cervical plexus block in partial thyroidectomies.
Cervical block anesthesia in thyroidectomy.
TLDR
Patients with pathological thyroid gland conditions underwent surgical management during the period 1956 to 1981 with no mortality nor serious complications encountered during this time.
Cervical block anesthesia in thyroidectomy.
TLDR
Seven hundred and sixteen patients with pathological thyroid gland conditions underwent surgical management during the period 1956 to 1981 with no mortality nor serious complications, attributable to cervical block anesthesia, encountered.
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