Bilateral superficial cervical plexus block combined with bilateral greater occipital nerve block reduces the impact of different sources of pain after thyroid surgery with less consumption of morphine-PCA: a randomized trial

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dc.contributor.authorKılınçkan, F.
dc.contributor.authorÜzümcügil, F.
dc.contributor.authorSayın, Murat
dc.contributor.authorÖzlü, O.
dc.contributor.authorBayır, Ömer
dc.date.accessioned2020-04-30T22:40:10Z
dc.date.available2020-04-30T22:40:10Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionBayir, Omer/0000-0001-9445-6129en_US
dc.descriptionWOS: 000358736300006en_US
dc.description.abstractBackground Our aim was to demonstrate the analgesic efficacy of the bilateral superficial cervical plexus block (BSCPB) combined with bilateral greater occipital nerve block (BGONB) on different sources of pain after thyroid surgery; in terms of pain scores and morphine-PCA consumption in the first 24 h. Materials and method Sixty patients were randomized into three groups; Group C (n = 20) to receive management without blocks; Group GS (n = 20), the combination of BSCPB and BGONB; and Group S (n = 20), BSCPB alone. Levobupivacaine of 0.25 % (15 ml (each side) for BSCPB; 5 ml (each side) BGONB) was used for nerve blocks. All patients received morphine-PCA for the first 24 h postoperatively. In all, 0 h, 1 h, 2 h, 4 h, 6 h, 12 h, and 24 h were the measurement times for incision pain at rest, pain on swallowing, headache, and posterior neck pain scores (VAS) and PONV. Requirement for rescue analgesics and 24 h morphine consumption were recorded. Results Incision pain scores at rest and on swallowing was lower in Groups GS and S (p < 0.001). Posterior neck pain scores were lower in Group GS (p < 0.001). Headache was similar in all groups, but the number of patients with pain scores VAS > 3 was lower in Group GS (p < 0.001). In Groups GS and S 24 h morphine consumption was lower, compared to Group C (p < 0.001). PONV and rescue analgesic use were similar. Conclusion The combination of three-injection technique BSCPB with BGONB performed before surgical incision by using 0.25 % levobupivacaine, significantly reduced incision pain at rest, incision pain on swallowing, headache and posterior neck pain after thyroid surgery, while reducing morphine consumption in 24 h postoperatively.en_US
dc.identifier.doi10.1007/s10353-015-0322-zen_US
dc.identifier.endpage187en_US
dc.identifier.issn1682-8631
dc.identifier.issn1682-4016
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage181en_US
dc.identifier.urihttps://doi.org/10.1007/s10353-015-0322-z
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2919
dc.identifier.volume47en_US
dc.identifier.wosWOS:000358736300006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Wienen_US
dc.relation.ispartofEuropean Surgery-Acta Chirurgica Austriacaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGreater occipital nerve blocken_US
dc.subjectMorphineen_US
dc.subjectPainen_US
dc.subjectPatient controlled analgesiaen_US
dc.subjectSuperficial cervical plexus blocken_US
dc.subjectTyroidectomyen_US
dc.titleBilateral superficial cervical plexus block combined with bilateral greater occipital nerve block reduces the impact of different sources of pain after thyroid surgery with less consumption of morphine-PCA: a randomized trialen_US
dc.typeArticleen_US

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