Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia G. Andrieu, H. Amrouni,

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Presentation transcript:

Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia G. Andrieu, H. Amrouni, E. Robin, B. Carnaille, J.M. Wattier, F. Pattou, B. Vallet, G. Lebuffe British Journal of Anaesthesia Volume 99, Issue 4, Pages 561-566 (October 2007) DOI: 10.1093/bja/aem230 Copyright © 2007 British Journal of Anaesthesia Terms and Conditions

Fig 1 Cervical plexus block using a three-point injection technique. (a) An s.c. injection of 6 ml of the prepared mixture was performed in the cephalic direction along the posterior border of the clavicular head of the sternocleidomastoid muscle. (b) The needle was reoriented in the medial direction above the sternocleidomastoid muscle and 3 ml of the prepared mixture were injected. (c) The last s.c. injection aimed to block the supraclavicular nerve. This third injection is omitted in the two-point injection technique. British Journal of Anaesthesia 2007 99, 561-566DOI: (10.1093/bja/aem230) Copyright © 2007 British Journal of Anaesthesia Terms and Conditions

Fig 2 Nefopam requirements during the first 24 h after surgery. The graph shows the number of patients requiring a 20 mg dose of nefopam at each postoperative time point for each group. Patients in Group R had BSCPB performed with ropivacaine 0.487%, those in Group RC ropivacaine 0.487% plus clonidine 5 μg ml−1, and those in Group P saline. British Journal of Anaesthesia 2007 99, 561-566DOI: (10.1093/bja/aem230) Copyright © 2007 British Journal of Anaesthesia Terms and Conditions

Fig 3 Box and whisker plot of pain scores during the first 24 h after surgery. Results are expressed as medians. The top and bottom of each box indicate the 75th and 25th percentiles, and the error bars the 10th and 90th percentiles. Patients in Group R had BSCPB performed with ropivacaine 0.487%, those in Group RC ropivacaine 0.487% plus clonidine 5 μg ml−1, and those in Group P saline. British Journal of Anaesthesia 2007 99, 561-566DOI: (10.1093/bja/aem230) Copyright © 2007 British Journal of Anaesthesia Terms and Conditions