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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
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Related Experiment Video

Updated: May 5, 2026

Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model
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Post-thyroidectomy bilateral cervical plexus block relieves pain: a systematic review.

Carlos Betancourt1,2, Alvaro Sanabria3,4,5

  • 1Head and Neck Service, Hospital Alma Mater, Medellín, Colombia.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|May 6, 2024
PubMed
Summary

Bilateral superficial cervical plexus block (BSCPB) significantly reduces post-thyroidectomy pain and the need for rescue analgesics. This technique also delays the first opioid dose and decreases overall opioid consumption within 24 hours.

Keywords:
AnalgesiaBlockingPainThyroid carcinomaThyroidectomy

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Area of Science:

  • Anesthesiology and Pain Management
  • Surgical Recovery
  • Regional Anesthesia Techniques

Background:

  • Post-thyroidectomy pain management remains a challenge, impacting patient recovery and opioid use.
  • Effective regional anesthesia techniques are crucial for optimizing pain control after thyroid surgery.

Approach:

  • A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted.
  • Searched databases included MEDLINE, Embase, Google Scholar, LILACS, and Cochrane Central Register of Controlled Trials (1968-2022).
  • Included RCTs compared bilateral superficial cervical plexus block (BSCPB) against placebo or no block in thyroidectomy patients.

Key Points:

  • BSCPB demonstrated a significant reduction in postoperative pain intensity (SMD: -1.17) and 24-hour pain scores (SMD: -0.62).
  • The block considerably delayed the first dose of rescue analgesia and reduced 24-hour opioid consumption.
  • Risk of bias was assessed using the RoB 2 instrument.

Conclusions:

  • Bilateral superficial cervical plexus block offers significant 24-hour analgesic efficacy following thyroidectomy.
  • BSCPB effectively minimizes the need for rescue analgesia and reduces postoperative opioid requirements.
  • Anesthetic choice and block application methods may influence the overall effectiveness of BSCPB.