EBRU ÇANAKÇI, NİLAY TAŞ, ÖZGÜR YAĞAN, Tuğçe GENÇ

Effect of bilateral superficial cervical block on postoperative analgesia in thyroid surgery performed under general anesthesia

Amaç: Total tiroidektomi operasyonların da genel anesteziye ek olarak uygulanan bilateral yüzeyel servikal pleksus bloğu (BYSPB) nun postoperatif opioid tüketimi ve hastanede yatış süresine etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Genel anestezi altında total tiroidektomi operasyonu geçiren, bilateral yüzeyel servikal pleksus blokajı (BYSPB) yapılan ve yapılmayan toplam 150 hasta, postoperatif tramadol ihtiyacı ve yatış süreleri açısından prospektif olarak değerlendirildi. Anestezi indüksiyonu sonrası cerrahi başlangıcında %0.5 lik 20 mL levobupivakain ile BYSPB uygulanan 75 hasta BYSPB grubunu oluşturdu, diğer yandan kontrol grubundaki 75 hastaya sadece genel anestezi uygulandı ve BYSPB yapılmadı. Bulgular: Her iki gruptaki hastaların yaş, cinsiyet, boy, kilo, ASA (Amerikan Anesteziologlar Birliği) fiziksel durum sınıflandırması karşılaştırıldığında istatiksel olarak anlamlı fark bulunmadı. BYSPB grubundaki 75 hastanın sadece 15 hastada (%20) postoperatif opioid ihtiyacı olurken, kontrol grubunda bu oran %85 (75 hastanın 64ü) olarak bulundu (p

Genel anestezi altında yapılan troid cerrahisinde bilateral yüzeyel servikal blok uygulamasının postoperatif analjezi üzerine etkisi

Aim: The purpose of this study was to assess the effect of bilateral superficial cervical plexus block (BSCPB), administered along with general anesthesia in total thyroidectomy surgical operations, on postoperative opioid consumption and the duration of hospital stay. Materials and Methods: A total of 150 patients who underwent total thyroidectomy surgical operations under general anesthesia and had or did not have bilateral superficial cervical plexus blockade (BSCPB), were prospectively evaluated in terms of their postoperative tramadol needs and durations of hospital stay. At the beginning of the surgical intervention after anesthesia induction, 75 patients who received BSCPB administered with a 0.5% of 20 mL levobupivacaine constituted the BSCPB group; on the other hand, 75 patients in the control group received only general anesthesia and no BSCPB was administered. Results: No statistically significant difference was found when age, gender, height, weight and ASA (American Society of Anesthesiologists) physical status classifications of patients in both groups were compared. Only 15 patients out of 75 patients in the BSCPB group (20%) had postoperative opioid needs, whereas this rate was determined as 85% in 64 patients out of 75 patients in the control group (p<0.05). Similarly, the tramadole consumption in the BSCPB group was significantly less when compared to the control group (p<0.05). Postoperative hospital stay in the BSCPB group (2.4±0.6) was also significantly less than that of the control group (4.7±1.6) (p<0.05) Conclusion: Bilateral superficial cervical plexus block administered along with general anesthesia in thyroidectomy operations considerably reduces pain and tramadol need in the postoperative period and lessens the duration of hospital stay.

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