Intermediate Cervical Block Under Ultrasound for Thyroid Surgery: Impact on Per and Postoperative Opioid Consumption (ICPBUS)

University Hospital, Mahdia

Status: Completed

Conditions: Local Anesthesia; Analgesia Disorder

Treatments: Procedure: bilateral cervical plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT03107585

CBTCpood

Details and patient eligibility

About

The investigators included prospectively 35 patients undergoing an intermediate cervical block under ultrasound (GP1) before a thyroidectomy ,compared to a group of 35 patients without a block (GP2).

Full description

The investigators performed prospective trial with 70 patients randomized in two groups each of 35:

• Group 1 (GP1): bilateral echo-guided intermediate cervical plexus bloc (ICB) by 10 ml of isobaric Bupivacaine (0.25%).
• Group 2 (GP2): control.

Ten minutes after ICB, general anesthesia was realised. Total dose of Remifentanil is calculated upon awakening, the postoperative pain is determined by visual analog scale from 0 to 10 (VAS) statements to H0, H2, H4, H6, H12 and H24. Whenever VAS is greater than or equal to 4, a morphine titration was administered.

Total dose consumption, side effects and satisfaction are noted at the end of protocol.

Enrollment: 70 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• candidate for thyroidectomy
• reoperation l

Exclusion criteria

• no consent
• BMI> 34
• allergy to any of the products used
• reoperation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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70 participants in 2 patient groups, including a placebo group

bilateral cervical plexus block (GP1)

Experimental group

Description:

arm intervention GP1 : after skin disinfection and oral premedication , ultrasound guided cervical bilateral bloc ,with10 ml of bupivacaine 0.25 was realized in each side of deep cervical space; then general anesthesia was performed with local protocol

Treatment:

Procedure: bilateral cervical plexus block

control(GP2)

Placebo Comparator group

Description:

GP2 control no specific intervention only general anesthesia was performed with local protocol

Treatment:

Procedure: bilateral cervical plexus block