Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/162527 |
Resumo: | OJECTIVES: The aim was to evaluate the ability of bilateral superficial cervical plexus blockade to control pain and to reduce the side effects of general anesthesia in patients submitted to thyroidectomy. METHODS: In this randomized controlled trial, we prospectively studied 100 consecutive patients who underwent total thyroidectomy. The simple random patient sample was divided into two groups: 50 patients received general anesthesia alone (group 1 [G1]), and 50 patients received general anesthesia with bilateral superficial cervical plexus blockade (group 2 [G2]). Statistical analyses were performed, and a 5% significance level was adopted. RESULTS: The mean arterial blood pressure and heart rate were 12% lower in G2 patients than in G1 patients 60 minutes after surgery (101 mmHg for G1 vs. 92.3 mmHg for G2; po0.001). G2 patients reported less pain than G1 patients, and opioid consumption was lower in G2 patients than in G1 patients, not upon postanesthesia care unit arrival, but at 30 minutes (2% vs. 34%; po0.001, respectively), 45 minutes (0% vs. 16%; p=0.006, respectively), and 4 hours postoperatively (6% vs. 20%; p=0.037, respectively). The incidence of nausea and vomiting was lower in G2 patients than in G1 patients from 45 minutes (0% vs. 16%; p=0.006, respectively) to 8 hours postoperatively (0% vs. 14%; p=0.012, respectively). CONCLUSIONS: The present study demonstrated that the combination of bilateral superficial cervical plexus blockade with general anesthesia for thyroidectomy is feasible, safe, and effective for achieving pain control and improving patient outcomes. |
id |
USP-19_8e227e6eb8bcbdd1c42cccddef2861e5 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/162527 |
network_acronym_str |
USP-19 |
network_name_str |
Clinics |
repository_id_str |
|
spelling |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trialThyroidectomyAnalgesiaCervical Plexus BlockPainThyroid NeoplasmOJECTIVES: The aim was to evaluate the ability of bilateral superficial cervical plexus blockade to control pain and to reduce the side effects of general anesthesia in patients submitted to thyroidectomy. METHODS: In this randomized controlled trial, we prospectively studied 100 consecutive patients who underwent total thyroidectomy. The simple random patient sample was divided into two groups: 50 patients received general anesthesia alone (group 1 [G1]), and 50 patients received general anesthesia with bilateral superficial cervical plexus blockade (group 2 [G2]). Statistical analyses were performed, and a 5% significance level was adopted. RESULTS: The mean arterial blood pressure and heart rate were 12% lower in G2 patients than in G1 patients 60 minutes after surgery (101 mmHg for G1 vs. 92.3 mmHg for G2; po0.001). G2 patients reported less pain than G1 patients, and opioid consumption was lower in G2 patients than in G1 patients, not upon postanesthesia care unit arrival, but at 30 minutes (2% vs. 34%; po0.001, respectively), 45 minutes (0% vs. 16%; p=0.006, respectively), and 4 hours postoperatively (6% vs. 20%; p=0.037, respectively). The incidence of nausea and vomiting was lower in G2 patients than in G1 patients from 45 minutes (0% vs. 16%; p=0.006, respectively) to 8 hours postoperatively (0% vs. 14%; p=0.012, respectively). CONCLUSIONS: The present study demonstrated that the combination of bilateral superficial cervical plexus blockade with general anesthesia for thyroidectomy is feasible, safe, and effective for achieving pain control and improving patient outcomes.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2019-09-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/16252710.6061/clinics/2019/e605Clinics; Vol. 74 (2019); e605Clinics; v. 74 (2019); e605Clinics; Vol. 74 (2019); e6051980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/162527/156335https://www.revistas.usp.br/clinics/article/view/162527/156336Copyright (c) 2019 Clinicsinfo:eu-repo/semantics/openAccessGoulart, Taís FonsecaAraujo-Filho, Vergilius José Furtado deClaudio Roberto, Claudio RobertoMatos, Leandro Luongo2019-09-23T12:52:30Zoai:revistas.usp.br:article/162527Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-09-23T12:52:30Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
title |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
spellingShingle |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial Goulart, Taís Fonseca Thyroidectomy Analgesia Cervical Plexus Block Pain Thyroid Neoplasm |
title_short |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
title_full |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
title_fullStr |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
title_full_unstemmed |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
title_sort |
Superficial cervical plexus blockade improves pain control after thyroidectomy: A randomized controlled trial |
author |
Goulart, Taís Fonseca |
author_facet |
Goulart, Taís Fonseca Araujo-Filho, Vergilius José Furtado de Claudio Roberto, Claudio Roberto Matos, Leandro Luongo |
author_role |
author |
author2 |
Araujo-Filho, Vergilius José Furtado de Claudio Roberto, Claudio Roberto Matos, Leandro Luongo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Goulart, Taís Fonseca Araujo-Filho, Vergilius José Furtado de Claudio Roberto, Claudio Roberto Matos, Leandro Luongo |
dc.subject.por.fl_str_mv |
Thyroidectomy Analgesia Cervical Plexus Block Pain Thyroid Neoplasm |
topic |
Thyroidectomy Analgesia Cervical Plexus Block Pain Thyroid Neoplasm |
description |
OJECTIVES: The aim was to evaluate the ability of bilateral superficial cervical plexus blockade to control pain and to reduce the side effects of general anesthesia in patients submitted to thyroidectomy. METHODS: In this randomized controlled trial, we prospectively studied 100 consecutive patients who underwent total thyroidectomy. The simple random patient sample was divided into two groups: 50 patients received general anesthesia alone (group 1 [G1]), and 50 patients received general anesthesia with bilateral superficial cervical plexus blockade (group 2 [G2]). Statistical analyses were performed, and a 5% significance level was adopted. RESULTS: The mean arterial blood pressure and heart rate were 12% lower in G2 patients than in G1 patients 60 minutes after surgery (101 mmHg for G1 vs. 92.3 mmHg for G2; po0.001). G2 patients reported less pain than G1 patients, and opioid consumption was lower in G2 patients than in G1 patients, not upon postanesthesia care unit arrival, but at 30 minutes (2% vs. 34%; po0.001, respectively), 45 minutes (0% vs. 16%; p=0.006, respectively), and 4 hours postoperatively (6% vs. 20%; p=0.037, respectively). The incidence of nausea and vomiting was lower in G2 patients than in G1 patients from 45 minutes (0% vs. 16%; p=0.006, respectively) to 8 hours postoperatively (0% vs. 14%; p=0.012, respectively). CONCLUSIONS: The present study demonstrated that the combination of bilateral superficial cervical plexus blockade with general anesthesia for thyroidectomy is feasible, safe, and effective for achieving pain control and improving patient outcomes. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/162527 10.6061/clinics/2019/e605 |
url |
https://www.revistas.usp.br/clinics/article/view/162527 |
identifier_str_mv |
10.6061/clinics/2019/e605 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/162527/156335 https://www.revistas.usp.br/clinics/article/view/162527/156336 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 74 (2019); e605 Clinics; v. 74 (2019); e605 Clinics; Vol. 74 (2019); e605 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222764584402944 |