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Combination of Ultrasound-Guided Bilateral
Cervical Plexus Block and general anesthesia can be used for postoperative pain
relief in patients undergoing total parathyroidectomy with
autotransplantation.
A study by Jing Gong and researchers found the use of combination
of Ultrasound-guided bilateral cervical plexus block plus
general anesthesia to be effective for improving the anesthesia management and
postoperative analgesia following total parathyroidectomy with
autotransplantation surgical procedure.
This deduction was based on 48 patients with
hyperparathyroidism secondary to renal failure as per the American Society of
Anesthesiologists (ASA) III–IV criteria. These patients were segreggated in two
groups of 24 patients each to receive ultrasound-guided bilateral superficial
and deep cervical plexus block plus general anesthesia (group A), and just
general anesthesia (group B). Sufentanil 2 μg/kg intravenous (IV ) was used as
postoperative patient-controlled analgesia. Postoperative pain scores was
considered as primary outcome. Changes in hemodynamics, intraoperative
remifentanil dosage, extubation time, and sufentanil use was considered as
secondary outcome.
Group A patients required less remifentanil (2.56± 0.92mg) compared to group B (3.38± 0.84mg). Lower VAS scores was observed in group A, as shown in the following figure:
Figure 1: Postoperative pain trends during 48 hours
Although the systolic blood pressure in group A patients was
considerably greater than group B immediately after extubation (T3), group A had lower heart rates than in group B a minute prior to
induction and after intubation. Both groups had no difference in values of
parathormone, calcium and phosphorus or even sufentanil usage.
Dovepress
Effects of Ultrasound-Guided Bilateral Cervical Plexus Block Combined with General Anesthesia in Patients Undergoing Total Parathyroidectomy and Partial Gland Autotransplantation Surgery
Jing Gong et al.
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