Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Comparative Evaluation of Post Operative Analgesia Using 0.5% Bupivacaine and 0.5% Ropivacaine in Ultrasound Guided Superficial Cervical Plexus Block Prior to General Anaesthesia for Patients Undergoing Thyroid Surgeries: Prospective Randomised Double Blind Study
P. S. Rajeswari, S. Suganya and V. M. Karthi
Page: 56-61 | Received 18 Aug 2023, Published online: 03 Sep 2023
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Abstract
Superficial cervical plexus block (SCPB) is frequently used as a pre‐emptive analgesic technique for thyroid surgeries. The efficacy of local anaesthetics in SCPB, namely 0.5% bupivacaine and 0.5% ropivacaine, has been a subject of interest. This study aimed to comparatively evaluate the post‐operative analgesic effect of these two agents when administered under ultrasound guidance prior to general anaesthesia for thyroid surgeries. In this prospective, randomised, double‐blinded study, patients scheduled for thyroid surgeries were randomly allocated to receive either 0.5% bupivacaine or 0.5% ropivacaine for SCPB under ultrasound guidance. The primary outcome measure was the duration of post‐operative analgesia. Secondary outcomes included pain scores, opioid consumption and any adverse events. Both groups exhibited prolonged post‐operative analgesia with no significant difference in the duration. However, the ropivacaine group showed lower pain scores in the immediate post‐operative period. Opioid consumption and adverse events were comparable between both groups. While both 0.5% bupivacaine and 0.5% ropivacaine provide effective post‐operative analgesia when used for ultrasound‐guided SCPB prior to thyroid surgeries, ropivacaine might offer superior early post‐operative pain relief. Both agents were found to be safe with no significant difference in adverse events.
How to cite this article:
P. S. Rajeswari, S. Suganya and V. M. Karthi. Comparative Evaluation of Post Operative Analgesia Using 0.5% Bupivacaine and 0.5% Ropivacaine in Ultrasound Guided Superficial Cervical Plexus Block Prior to General Anaesthesia
for Patients Undergoing Thyroid Surgeries:
Prospective Randomised Double Blind Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.8.56.61
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.8.56.61