Analgesic outcomes of Bupivacaine alone versus Bupivacaine with Dexmedetomidine in Bilateral Superficial cervical plexus block in Thyroid surgeries

This prospective randomized comparative study aims to evaluate the analgesic outcomes of bilateral superficial cervical plexus block using bupivacaine 0.5Percent alone versus bupivacaine 0.5Percent with dexmedetomidine in patients undergoing elective thyroid surgery under general anesthesia. After induction an ultrasound guided superficial cervical plexus block will be performed. Postoperative pain will be assessed using the visual analogue scale and the duration of analgesia Time to first rescue analgesic Total analgesic requirement Hemodynamic parameters and Adverse effects will be recorded. The study seeks to determine whether the addition of dexmedetomidine enhances the quality and duration of postoperative analgesia compared to bupivacaine alone.