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学科主题: 临床医学
题名:
Feasibility of ultrasound-guided capsule-sheath space block combined with anterior cervical cutaneous nerves block for thyroidectomy: an observational pilot study
作者: 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
发表日期: 2015-01-19
DOI: 10.1186/1471-2253-15-4
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58675
Appears in Collections:北京大学第三临床医学院_麻醉科_期刊论文

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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

Recommended Citation:
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.
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