| Autor: |
Anjana Bose, Rinki Das, Sumona Maiti Das, Aloke Ghosh Dastidar |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Journal of Evidence Based Medicine and Healthcare, Vol 08, Iss 19, Pp 1440-1445 (2021) |
| ISSN: |
2349-2570 |
| Popis: |
BACKGROUND Thyroid surgery for small solitary nodule can be done under cervical plexus block. The purpose of this study was to evaluate patients in terms of haemodynamic changes, pain during surgery, conversion to general anaesthesia (GA), hospital stay and complications. METHODS This is an observational study conducted among 30 patients who were given 20 ml (10 ml lignocaine 1 % with adrenaline + 10 ml of ropivacaine 0.5 %) on the operating side for deep and superficial cervical plexus block and 10 ml (5 ml lignocaine 1 % with adrenaline + 5 ml of ropivacaine 0.5 %) on the opposite side for superficial cervical plexus block. During the waiting time an infusion of dexmedetomidine was started 1 mcg / kg body weight for the first 10 minutes and then 0.5 mcg / kg body weight throughout the operating time. Patients were followed up for 4 hours postoperative to assess requirement of analgesics and 24 hours for readiness of discharge. RESULTS Data was collected using MS Excel software. Paired t-test was done to find the significance. Among 30 patients, 5 patients had to be converted to general anaesthesia, rest 25 patients were haemodynamically very stable during surgery and there was no episode of bradycardia due to dexmedetomidine. Analgesia lasted for 3 - 4 hours and patients were very stable by 12 hours and converted to oral analgesics. CONCLUSIONS It is quite safe to perform surgery on thyroid nodules less than 10 cms in size under cervical plexus block using lignocaine and ropivacaine. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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