Background and aims The SCPB provides effective anesthesia and analgesia for the head and neck region. CPBs can be performed more safely and accurately under ultrasound guidance, which is used to easily identify various important landmarks. This case report was carried out to assess the efficacy of SCPB in reducing the intra and postoperative use of opioids/analgesics to control pain due to thyroidectomy.
Methods Case report: 45-year-old woman, ASA II, underwent left hemithyroidectomy under general anesthesia (sevoflorane 2% and remifentanil TCI 0.7–1 ng/ml). Ultrasound-guided left superficial cervical plexus block (SCPB) was performed using levobupivacaine 10 ml 0.25%. Pain score was measured using the numerical rating scale (NRS).
Results Intraoperative analgesia was achieved with remifentanil at values lower than 1,5–2 ng/ml. Hemodynamic parameters were stable during the surgery. No further perioperative analgesia was performed. Post-operative NRS was maintained between 0–3 (4h-6h = 2–3 and 12h-24h = 2–0). The patient reported hypoesthesia of the left side of the neck for the first 8 h post-surgery.
Conclusions In this report, SCPB reduces intraoperative opioids dose and patient’s request of postoperative pain therapy. Ultrasound guided CPB is easy to perform, safe and reliable, eliminating the occurrence of side effects and complications. Future goal for our team is to make the cervical plexus block the first choice for performing neck surgery, avoiding general anesthesia.
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