Acta Scientific Clinical Case Reports

Short Communication Volume 3 Issue 8

The Management of Post-thyroidectomy Pain by Preoperative Superficial Cervical Plexus Blockage Under Ultrasound Guidance

Mehdi Sanatkar1,2*

1Department of Anesthesiology and Pain, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran
2Pain Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran

*Corresponding Author: Mehdi Sanatkar, Department of Anesthesiology and Pain, Farabi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Received: April 04, 2022; Published: July 22, 2022

Abstract

Postoperative pain is one of the most important morbidities in the recovery process after thyroidectomy. Since pain is a common and unpleasant complication after thyroidectomy, therefore postoperative pain management is a moral and professional duty of the therapist especially for patients and anaesthesiologists. Postoperative pain control has a proven role in improving the prognosis of surgery and preventing unwanted complications such as cardiovascular problems, blood clotting, elevated blood sugar and coagulation disorders [1,2]. In many cases after thyroidectomy, patients complain of chronic pain in the lateral areas of the neck on the same side of the surgery and at site of skin incision, requiring medical interventions [3]. According to previous studies, blocking of superficial cervical plexus can reduce post- thyroidectomy pain [2,3]. Kalmovich., et al. performed a study about post-thyroidectomy pain.

References

  1. Richebé P., et al. “Persistent Postsurgical Pain: Pathophysiology and Preventative Pharmacologic Considerations”. Anesthesiology 3 (2018): 590-607.
  2. Bach AM., et al. “Postoperative Pain Management: A Bedside Perspective”. Pain Management Nursing6 (2018): 608-618.
  3. Wattier JM., et al. “Chronic post-thyroidectomy pain: Incidence, typology, and risk factors”. Anaesthesia Critical Care and Pain Medicine 3 (2016): 197-201.
  4. Kalmovich LM., et al. “Thyroidectomy: exactly how painful is it?” Journal of Otolaryngology - Head & Neck Surgery 3 (2010): 277-283.
  5. Andrieu G., et al. “Analgesic efficacy of bilateral superficial cervical plexus block administered before thyroid surgery under general anaesthesia”. British Journal of Anaesthesia4 (2007): 561-566.
  6. Karthikeyan VS., et al. “Randomized controlled trial on the efficacy of bilateral superficial cervical plexus block in thyroidectomy”. Pain Practice7 (2013): 539-546.
  7. Uhlmann RA., et al. “A Review of Postoperative Pain Management for Thyroid and Parathyroid Surgery”. Journal of Surgical Research 241 (2019): 107-111.
  8. Jiang Y., et al. “The effect of bupivacaine on postoperative pain following thyroidectomy: a systematic review and meta-analysis”. Minerva Chirurgica3 (2020): 193-202.
  9. Brady JT., et al. “Are narcotic pain medications necessary after discharge following thyroidectomy and parathyroidectomy?” Surgery 1 (2021): 202-208.

Citation

Citation: Mehdi Sanatkar. “The Management of Post-thyroidectomy Pain by Preoperative Superficial Cervical Plexus Blockage Under Ultrasound Guidance". Acta Scientific Clinical Case Reports 3.8 (2022): 37-38.

Copyright

Copyright: © 2022 Mehdi Sanatkar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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