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学科主题临床医学
Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study
Wang, Quanguang1; Li, Zhengqian2; Xu, Shihao1; Li, Yu1; Zhang, Xuezheng1; Liu, Qimin3; Xia, Yun4; Papadimos, Thomas J.4; Xu, Xuzhong1
关键词Regional anesthesia Ultrasound guidance Thyroidectomy Contrast medium Ropivacaine
刊名BMC ANESTHESIOLOGY
2015-01-19
DOI10.1186/1471-2253-15-4
15
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Anesthesiology
研究领域[WOS]Anesthesiology
关键词[WOS]PLEXUS BLOCK ; CAROTID-ENDARTERECTOMY ; REGIONAL ANESTHESIA ; PARATHYROID SURGERY ; SURGICAL ANATOMY ; TRIAL ; GLAND ; DEEP
英文摘要

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.

语种英语
WOS记录号WOS:000348943100001
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58675
专题北京大学第三临床医学院_麻醉科
作者单位1.Wenzhou Med Univ, Affiliated Hosp 1, Dept Anesthesiol, Wenzhou, Zhejiang, Peoples R China
2.Peking Univ, Hosp 3, Dept Anesthesiol, Beijing 100871, Peoples R China
3.Yongjia Peoples Hosp, Dept Anesthesiol, Wenzhou, Zhejiang, Peoples R China
4.Ohio State Univ, Med Ctr, Dept Anesthesiol, Columbus, OH 43210 USA
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GB/T 7714
Wang, Quanguang,Li, Zhengqian,Xu, Shihao,et al. Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study[J]. BMC ANESTHESIOLOGY,2015,15.
APA Wang, Quanguang.,Li, Zhengqian.,Xu, Shihao.,Li, Yu.,Zhang, Xuezheng.,...&Xu, Xuzhong.(2015).Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study.BMC ANESTHESIOLOGY,15.
MLA Wang, Quanguang,et al."Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study".BMC ANESTHESIOLOGY 15(2015).
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