Chronic Pain Clinical Trial
Official title:
Randomized Controlled Trial of Regional Anesthesia in Combination With General Anesthesia for Thyroidectomy
For more than 25 years, Regional Anesthesia has challenged anesthesiologists to determine whether it offers real benefits in terms of patient outcome from major surgery, compared with general anesthesia. Although it is clear that regional analgesia in association with general anesthesia substantially reduces postoperative pain, the benefits in terms of overall perioperative outcome are controversial. The aim of this study is to evaluate the effect on short and long-term postoperative outcomes of adding regional analgesia to general anaesthesia in thoridetomic patients.
Patients who are divided into two treatment groups: (a) a bilateral superficial cervical
plexus group (group S) and a control group (group C).We performe bilateral superficial
cervical plexus block (BSCPB)with 0.25-0.75% ropivacaine10 ml to group S and 10ml NaCl 0.9%
to group C. All BSCPB is performed by experienced anesthesia doctor after a standardized
induction of general anaesthesia.eneral anaesthesia was induced by using intravenously with
midazolam,propofol, fentanyl, cisatracurium is injected IV to facilitate orotracheal
intubation. After a standardized induction of general anaesthesia, patients receive Regional
Anesthesia at the discretion of the experienced anesthesiologist who was blinded to
treatment.
The patient is placed in a supine position with the head turned away from the side to be
blocked, and then the sternocleidomastoid muscle (SCM) is identified by slight head
elevation. SCPB is performed with a 26-gauge needle that is inserted at the midpoint of the
posterior border of the SCM muscle and the needle is advanced just past the SCM muscle.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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