Study assessing pain relief provided and safety of numbing nerves of both sides of the neck at the intermediate level as compared to the superficial level under ultrasound guidance in patients undergoing thyroid surgery under general anaesthesia
Not Applicable
Completed
- Conditions
- Health Condition 1: E049- Nontoxic goiter, unspecified
- Registration Number
- CTRI/2019/02/017734
- Lead Sponsor
- AIIMS New Delhi
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 57
Inclusion Criteria
1. Adults between age 18 and 75 years of age
2. American Society of Anesthesiologists physical status I and II
3. Scheduled to undergo total or near total thyroidectomy
Exclusion Criteria
1. Patient refusal.
2. Patients undergoing radical neck dissection.
3. Large goitre deforming neck anatomy
4. Retrosternal extension of thyroid
5. Patients on regular preoperative opioid based medications
6. Patients with pre-existing phrenic nerve palsy, brachial plexus palsy, RLN palsy or Horner’s syndrome
7. Patients with cognitive impairment and/or psychiatric illness
8. Patients unable to understand the study protocol or unable to use PCA pumps or unable to perform PFTs
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare between the two groups the total dose of fentanyl required in first 24-hour postoperative period following thyroid surgery under general anaesthesia (GA).Timepoint: At the end of 24 postoperative hours.
- Secondary Outcome Measures
Name Time Method Assessment of phrenic nerve palsy, Recurrent laryngeal nerve palsy, Posterior neck pain and posterior headache, Numbness of ear lobe, Arm weakness (Brachial Palsy), Horner’s syndrome. <br/ ><br>Timepoint: 0-24 hours postoperatively;Quality of recovery score.Timepoint: 24 hours postoperatively;To compare between the two groups Time to first rescue analgesic in post-operative periodTimepoint: 0-24 hours post surgery;VAS at rest (incision pain) at 0, 1, 2, 6, 12, 24 hours postoperatively.Timepoint: at 0, 1, 2, 6, 12, 24 hours postoperatively;VAS on swallowing (incision pain)Timepoint: at 0, 1, 2, 6, 12, 24 hours