Ultrasound guided bilateral superficial cervical plexus block versus intravenous ketamine and dexmedetomidine infusion as opioid sparing analgesia for upper tracheal resection and reconstruction surgeries: a randomized comparative study.
Mohammed N Mohammed, Ahmed M Mohasseb, Reem A Elsharkawy et al.
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In 30 seconds
This randomized controlled trial evaluated the efficacy of bilateral superficial cervical plexus block (BSCPB) versus intravenous ketamine and dexmedetomidine infusion for opioid-sparing analgesia in 66 patients undergoing upper tracheal resection and reconstruction. The BSCPB provided a mean analgesic duration of 10.39 ± 2.50 hours compared to 6.02 ± 1.89 hours for the KD group, demonstrating superior pain relief and reduced opioid consumption.
Key findings
- Mean analgesic duration was 10.39 ± 2.50 hours for BSCPB versus 6.02 ± 1.89 hours for KD.
- VAS scores were significantly lower in the BSCP group at 4, 6, 8, and 12 hours postoperatively.
- The KD group required a larger fentanyl dose than the BSCP group.
- No significant differences in complications were reported between the two groups.
Why it matters
Effective pain management is crucial in postoperative care, especially to minimize opioid use due to associated side effects. This study highlights a potentially superior analgesic technique that can enhance recovery and patient comfort following tracheal surgeries.