Analgesic efficacy of bilateral superficial and deep cervical plexus block in patients with secondary hyperparathyroidism due to chronic renal failure

Yinglan Su; Zhongjun Zhang; Qiuli Zhang; Yaoxian Zhang; Zhanli Liu

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자료유형: 학술저널

저자정보: Yinglan Su (Shenzhen People"s Hospital) Zhongjun Zhang (Shenzhen People"s Hospital) Qiuli Zhang (Shenzhen People"s Hospital) Yaoxian Zhang (Shenzhen People"s Hospital) Zhanli Liu (Shenzhen People"s Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.6

발행연도: 2015.11

수록면: 325 - 329 (5page)

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Purpose: Secondary hyperparathyroidism (SHPT) develops in patients with chronic renal failure. This study aimed to compare analgesic efficacy in SHPT patients who undergo subtotal parathyroidectomy after superficial versus deep cervical plexus block.
Methods: Sixty chronic renal failure patients with SPHT scheduled for subtotal parathyroidectomy were randomized to receive general anesthesia (group GA), general anesthesia plus bilateral superficial and deep cervical plexus block (group BD), or general anesthesia plus bilateral superficial cervical plexus block (group BS) (n = 20). Bilateral superficial cervical plexus block or combined superficial and deep cervical plexus block with 0.5% ropivacaine was administered. Postoperative pain was assessed using visual analogue scale (VAS).
Results: VAS score at 1 hour, 4 hours, and 8 hours after operation was 3.71 ± 0.60, 2.72 ± 0.54, 2.17 ± 0.75 in BS group; 4.00 ± 0.28, 2.89 ± 0.21, and 2.46 ± 1.01 in BD group, significantly lower than in GA group (6.50 ± 0.50, 5.02 ± 0.54, and 4.86 ± 0.51, respectively). The dosage of tramadol was 109.0 ± 35.2 mg in BS group and 93.0 ± 24.52 mg in BD group, significantly lower than in GA group (300.0 ± 27.13 mg). The incidence of complications in GA group (90%) was significantly higher than in BS group (30%) and BD group (15%). Serum glucose and norepinephrine levels were significantly higher at 1 hour, 4 hours, and 8 hours after operation, but returned to baseline levels at 24 hours after operation.
Conclusion: Superficial cervical plexus block or combined superficial and deep cervical plexus block effectively reduces postoperative pain, stress response, and complications in SHPT patients who undergo subtotal parathyroidectomy.

#Secondary hyperparathyroidism #Chronic kidney failure #Parathyroidectomy #Cervical plexus

참고문헌 (15)

참고문헌 신청

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[학술지(정기간행물)] - Drueke TB / 2000 / Cell biology of parathyroid gland hyperplasia in chronic renal failure / J Am Soc Nephrol 11 : 1141 ~ 1152

[학술지(정기간행물)] - de Francisco AL / 2008 / New strategies for the treatment of hyperparathyroidism incorporating calcimimetics / Expert Opin Pharmacother 9 : 795 ~ 811

[학술지(정기간행물)] - Schlosser K. / 2007 / Surgical treatment of tertiary hyperparathyroidism: the choice of procedure matters / World J Surg 31 : 1947 ~ 1953

[학술지(정기간행물)] - Saxe AW. / 1988 / Thyroid and parathyroid surgery performed with patient under regional anesthesia / Surgery 103 : 415 ~ 420

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