Prospective observational study of thyroidectomy under USG guided bilateral superficial cervical plexus block
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- evaluation of anesthetic efficacy of US guided cervical plexus block block for thyroidectomy
研究概览
简要总结
Traditionally general anesthesia is used for head and neck surgeries, including thyroidectomy /hemithyroidectomy/parathyroidectomy. However nowadays there is resurgence of regional anesthesia in form of superficial cervical plexus block( SCPB).
It has various advantage over GA in form of no cardiovascular depression ,lesser post op depression, & sedation ,less PONV, no respiratory complications, no interference with bowel function, early recovery and discharge,decreased cost of treatment etc.Traditionally this block is given by landmark technique which has its own limitation and complication in form of injury to vascular structures ,intraneural injection phrenic nerve paralysis etc.these complications can be minimised by giving the block under guidance of ultrasound.
Our primary objective will be evaluation of anesthetic efficacy of US guided cervical plexus block for thyroidectomy/parathyroidectomy. Secondary objective will be intra op and post op analgesic requirement, patient & surgeon satisfaction score, block related complications, & hospital stay duration.
It will be a prospective observational study over a period of next 1 year.Standard ASA monitoring will be done.Bilateral superficial cervical plexus block will be given with 10 ml of bupivacaine 0.25 % with 22 G 2.5 inch needle.Effect of block will be assessed after 5 mins by pin prick test and reassessed again. After successful block surgeon will start surgery.In case of failed block patient will be given GA. For pain intraop we will be using fentanyl. In post op we will be using paracetamol and tramadol for rescue analgesia. Amount of Analgesic requirement will be noted.Post operative pain will be assessed on VAS scale at 0, 6 12 24 hours.Surgeon and patient satisfaction score will be asssessed alongwith duration of hospital stay and complications.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •1.ASA 1 & 2 patients 2.Age 18-65 years (male &female ) 3.Small goitre (upto 4x4cm).
排除标准
- •1.Patient Refusal 2.ASA 3 & 4 patients 3.Not cooperative and not able to understand instructions,communication barrier (dementia, language barrier, mental retardation) 4.Allergy to LA 5.Proven compromise in IDL in Vocal cords 6.Obese
- •H/o OSA, dyspnoea, tracheal deviation/ compression on neck X-ray 8.Recurrent goitre 9.Renal dysfunction.
结局指标
主要结局
evaluation of anesthetic efficacy of US guided cervical plexus block block for thyroidectomy
时间窗: every 5 minutes for first half hour and then every 15 minutes till end of surgery
次要结局
- intra op and post op analgesic requirement(0 6 12 24 hrs after surgery)
- block related complications(0 6 12 24 hrs after surgery)
- patient satisfaction score(24 hours after surgery)
- surgeon satisfaction score(24 hours after surgery)
- hospital stay duration(once at the time of discharge)