RecruitingNot ApplicableNCT06419556

Analgesic Efficacy of an Intermediate CPB in Neck Surgeries.

Analgesic Efficacy of an Intermediate Cervical Plexus Block in Patients Undergoing Neck Surgeries. A Comparison Between Two Bupivacaine Concentrations.

Sponsor

Cairo University

Enrollment

54 participants

Start Date

Mar 5, 2023

Study Type

INTERVENTIONAL

Conditions

Anesthesia Thyroid Bupivacaine Neck

Summary

This study aims to investigate the analgesic efficacy of Intermediate Cervical Plexus Block combined with GA using two bupivacaine concentrations in patients undergoing neck surgeries (total thyroidectomy or total laryngectomy)

Eligibility

Min Age: 40 YearsMax Age: 70 Years

Inclusion Criteria2

Any patient aged ≥ 40 years
ASA physical status I-III scheduled for total thyroidectomy or total laryngectomy under GA.

Exclusion Criteria6

Patients with heart failure
history of arrhythmias
treatment with antiarrhythmic drugs
impaired pulmonary
Liver or kidney functions
Neck infection or rash

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Interventions

PROCEDURECervical Plexus Block

The patient's head was rested on a pillow and turned to the opposite side. A linear probe with higher frequencies was placed transversely over the midpoint of the SCM muscle. The carotid artery was identified and traced upwards to its bifurcation. the probe was then moved laterally to identify the tapering posterolateral end of the SCM muscle. Via an in-plane technique, a 22-gauge, 50 mm needle was advanced underneath the investing fascia of SCM muscle and above the interscalene groove until the "pop" on piercing the investing fascia was felt.