Superficial and deep cervical plexus blocks versus patient-controlled analgesia in total laryngectomy; a randomized trial.

IF 1.5 Q4 CLINICAL NEUROLOGY
Nourhan Mohamed Elsherbiny, Mona Gad Mostafa Elebieby, Aboelnour Elmorsy Badran, Mohammed N Mohammed
{"title":"Superficial and deep cervical plexus blocks versus patient-controlled analgesia in total laryngectomy; a randomized trial.","authors":"Nourhan Mohamed Elsherbiny, Mona Gad Mostafa Elebieby, Aboelnour Elmorsy Badran, Mohammed N Mohammed","doi":"10.1080/17581869.2025.2552633","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The cervical plexus block (CPB) delivers analgesia for surgeries in the head and neck . Patient-controlled analgesia (PCA) has been utilized to enhance pain management. This study evaluates combined bilateral superficial and deep CPB versus PCA in postoperative pain management after total laryngectomy.</p><p><strong>Materials and methods: </strong>Randimized two equal groups: the CPB group (<i>n</i> = 25), who received combined bilateral US-guided superficial and deep CBP, and the PCA group (<i>n</i> = 25), who received PCA. The primary outcome was postoperative visual analog scale (VAS) . The secondary outcomes were hemodynamic changes, fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications.</p><p><strong>Results: </strong>Postoperative VAS scores (at 2 and 4 h) were greater in the PCA group compared to the CPB group, <i>p</i> values (0.031, 0.044), respectively. The results were comparable at 6 and 12 h; while at 18 and 24 h, they were elevated in the CPB. The intraoperative hemodynamics were elevated in the PCA group at skin incision and after 30 min. Fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications were comparable.</p><p><strong>Conclusion: </strong>Ultrasound-guided combined bilateral superficial and deep CPB provided superior analgesia in the early postoperative period compared to PCA.</p><p><strong>Clinical trial registration: </strong>https://pactr.samrc.ac.za PACTR202403682323400.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-9"},"PeriodicalIF":1.5000,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/17581869.2025.2552633","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The cervical plexus block (CPB) delivers analgesia for surgeries in the head and neck . Patient-controlled analgesia (PCA) has been utilized to enhance pain management. This study evaluates combined bilateral superficial and deep CPB versus PCA in postoperative pain management after total laryngectomy.

Materials and methods: Randimized two equal groups: the CPB group (n = 25), who received combined bilateral US-guided superficial and deep CBP, and the PCA group (n = 25), who received PCA. The primary outcome was postoperative visual analog scale (VAS) . The secondary outcomes were hemodynamic changes, fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications.

Results: Postoperative VAS scores (at 2 and 4 h) were greater in the PCA group compared to the CPB group, p values (0.031, 0.044), respectively. The results were comparable at 6 and 12 h; while at 18 and 24 h, they were elevated in the CPB. The intraoperative hemodynamics were elevated in the PCA group at skin incision and after 30 min. Fentanyl consumption, first rescue analgesia, hospital stay, and postoperative complications were comparable.

Conclusion: Ultrasound-guided combined bilateral superficial and deep CPB provided superior analgesia in the early postoperative period compared to PCA.

Clinical trial registration: https://pactr.samrc.ac.za PACTR202403682323400.

浅、深颈丛阻滞对全喉切除术患者自控镇痛的影响随机试验。
颈椎丛阻滞(CPB)为头颈部手术提供镇痛。患者自控镇痛(PCA)已被用于加强疼痛管理。本研究评估联合双侧浅表和深部CPB与PCA在全喉切除术后疼痛管理中的作用。材料与方法:随机分为两组,CPB组(n = 25)接受双侧us引导下的浅深部联合CBP, PCA组(n = 25)接受PCA。主要观察指标为术后视觉模拟评分(VAS)。次要结局是血流动力学改变、芬太尼消耗、首次抢救镇痛、住院时间和术后并发症。结果:PCA组术后VAS评分(2、4 h)高于CPB组,p值分别为0.031、0.044。6和12小时的结果具有可比性;而在18和24 h时,它们在CPB中升高。PCA组术中血流动力学在皮肤切口及30min后升高。芬太尼用量、首次抢救镇痛、住院时间和术后并发症具有可比性。结论:超声引导下双侧浅深部联合CPB在术后早期镇痛效果优于PCA。临床试验注册:https://pactr.samrc.ac.za PACTR202403682323400。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信