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Acta Medica Iranica، جلد ۶۰، شماره ۹، صفحات ۵۴۹-۵۵۳
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عنوان انگلیسی The Effect of Superficial Cervical Plexus Blockage With Ultrasound Guidance on Pain After Thyroidectomy
چکیده انگلیسی مقاله The main complaint after thyroidectomy is pain upon swallowing. It has been proven that postoperative uncontrolled pain can lead to chronic pain.  We investigated the effectiveness of superficial cervical plexus block with ultrasound guidance on pain after thyroidectomy. This is a prospective double-blind clinical trial study on patients aged 18-60 years are candidates for thyroidectomy.  Patients were randomly divided into two groups. The treatment group underwent superficial cervical plexus block under ultrasound guidance with injection of 10 ml of ropivacaine 0.2%, and the control group received 10 ml of normal saline after sedation and before general anaesthesia. The hemodynamic variables, amount of remifentanil used for hemodynamic stability, the severity of perioperative pain, postoperative nausea and vomiting and need to analgesics were compared between two groups. The severity of pain in the treatment group at the time of discharge from recovery, 2, 6, 12 and 24 hours after surgery was 1.36, 1.76, 1.46, 1.24 and 0.44 respectively and in the control group was 3.12, 3.30, 3.82, 2.96 and 2.02 (p< 0.001). The average dose of meperidine administration for pain relief during recovery in the treatment group was 2.8 (± 7.84) mg and in the control group was 9.2 (± 11.92) mg (p< 0.002). The need to diclofenac for analgesia during 24hours after surgery in the block group was 4 (± 19.79) mg and in the control group was 64 (± 69.28) mg, (p< 0.001). Superficial cervical plexus block can significantly reduce perioperative pain and need to analgesic administration during and after thyroidectomy.
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نویسندگان مقاله | Nader Ali Nazemian Yazdi
Department of Anesthesiology and Pain, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran


| Mehdi Sanatkar


نشانی اینترنتی https://acta.tums.ac.ir/index.php/acta/article/view/10076
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