الفهرس 
ANATOMYOnly 14 pages are availabe for public view
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Abstract
The thyroid gland surgery is a common and painful procedure demanding analgesia. Bilateral intermediate cervical plexus block (BICPB) could be beneficial for analgesia in thyroid surgery.
In this study we will evaluate the analgesic efficacy and possible side effects of ultrasound guided intermediate cervical plexus block vs local wound infiltration in patients undergoing elective thyroidectomy under general anaesthesia.
The aim of this study is to evaluate the analgesic efficacy and possible side effects of ultrasound guided intermediate cervical plexus block vs local wound infiltration in patients undergoing elective thyroidectomy under general anaesthesia as a primary outcome. The secondary outcome is the assessment of the safety of ICPB and the total dose of meperidine used postoperatively (rescue analgesia) for 24 h.
This Prospective, randomized study was conducted in Ain Shams University Hospitals from October 2020 to February 2021.
After obtaining approval from the Research Ethical Committee of Faculty of medicine, Ain Shams University, written informed consent had been taken from 40 participants of either sex with scheduled for elective thyroidectomy after full explanation of the procedure, possible side effects and complications.
Of the 40 patients studied, the patients were divided into two equal groups:
• group A: The patients received intermediate cervical plexus block with 10 ml of 0.25% bupivacaine. The same will be repeated on the contralateral side.
• group B: Patient will receive local wound infiltration with 20 ml bupivacaine 0.25% under the skin immediately before extubation by the surgeon for pain control.
• group A showed significant lower median score compared with group B at time 2hrs, 4hrs,6hrs,12hrs, the time for first dose meperidine was significantly longer in group A (17.2 ± 3.02 vs 10.15 ± 1.84) while Total 24 h meperidine consumption was significantly less in group A (26.25 ± 17.16 vs 36.25 ± 12.76)