دورية أكاديمية
Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study
| العنوان: | Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study |
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| المؤلفون: | Wang, Quanguang, Li, Zhengqian, Xu, Shihao, Li, Yu, Zhang, Xuezheng, Liu, Qimin, Xia, Yun, Papadimos, Thomas J., Xu, Xuzhong |
| المساهمون: | Xu, XZ (reprint author), Wenzhou Med Univ, Affiliated Hosp 1, Dept Anesthesiol, Wenzhou, Zhejiang, Peoples R China., Wenzhou Med Univ, Affiliated Hosp 1, Dept Anesthesiol, Wenzhou, Zhejiang, Peoples R China., Peking Univ, Hosp 3, Dept Anesthesiol, Beijing 100871, Peoples R China., Yongjia Peoples Hosp, Dept Anesthesiol, Wenzhou, Zhejiang, Peoples R China., Ohio State Univ, Med Ctr, Dept Anesthesiol, Columbus, OH 43210 USA. |
| المصدر: | SCI ; PubMed |
| بيانات النشر: | bmc anesthesiology |
| سنة النشر: | 2015 |
| المجموعة: | Peking University Institutional Repository (PKU IR) / 北京大学机构知识库 |
| مصطلحات موضوعية: | Regional anesthesia, Ultrasound guidance, Thyroidectomy, Contrast medium, Ropivacaine, PLEXUS BLOCK, CAROTID-ENDARTERECTOMY, PARATHYROID SURGERY, SURGICAL ANATOMY, TRIAL, GLAND, DEEP |
| الوصف: | Background: We evaluated the efficacy of a new anesthetic technique termed ultrasound-guided capsule-sheath space block (CSSB) combined with anterior cervical cutaneous nerve block (CCNB) for thyroidectomy. Methods: The study included two parts: Part one was an imaging study to determine technique feasibility. The CSSB was performed on five healthy volunteers by introducing the needle 0.5 cm lateral to the probe under in-plane needle ultrasound guidance. After puncture of the false capsule and its subsequent contraction with the true capsule of thyroid, 10 mL of contrast medium was deposited slowly in the capsule-sheath space. The CCNB was performed bilaterally as follows: Under ultrasound guidance, a subcutaneous injection was made along the sternocleidomastoid using 10 mL of contrast medium which was followed by a girdle-shaped picchu raised from the cricoid cartilage to supraclavicular region. The spreading pattern of contrast medium was imaged using computed tomographic scanning. In part two (a clinical case series) the technique efficacy was evaluated. Seventy-eight patients undergoing thyroidectomy had ultrasound-guided CSSB and CCNB with local anesthetics. The sensory onset of CCNB, intraoperative hemodynamic parameters, and analgesic effect were assessed and complications were noted. Results: The distribution of contrast medium was well defined. In part two the onset time of CCNB was 2.2 +/- 0.7 min, and the hemodynamic parameters remained stable intraoperatively. The recall of visual analogue scale scores during surgery was 2 [1-4] for median (range). The patients' and surgeons' satisfaction scores were 2 [1-4] and 1 [1-3] for median (range). No serious complications occurred. Conclusions: Combining ultrasound-guided CSSB and CCNB is a feasible, effective and safe technique for thyroidectomy. ; Anesthesiology ; SCI(E) ; PubMed ; 0 ; ARTICLE ; xuzhong@263.net ; 4 ; 15 |
| نوع الوثيقة: | journal/newspaper |
| اللغة: | English |
| تدمد: | 1471-2253 |
| العلاقة: | BMC ANESTHESIOLOGY.2015,15.; 650281; http://hdl.handle.net/20.500.11897/188315Test; WOS:000348943100001 |
| DOI: | 10.1186/1471-2253-15-4 |
| الإتاحة: | https://doi.org/20.500.11897/188315Test https://doi.org/10.1186/1471-2253-15-4Test https://hdl.handle.net/20.500.11897/188315Test |
| رقم الانضمام: | edsbas.224FC9E1 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14712253 |
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| DOI: | 10.1186/1471-2253-15-4 |