ENDOblock: Bilateral Superficial Cervical Blocks With Local Wound Infiltration in Thyroid Surgery
Post Operative Pain, Nausea and Vomiting, Postoperative, Opioid Use
About this trial
This is an interventional supportive care trial for Post Operative Pain focused on measuring bilateral superficial cervical plexus block, post operative pain after thyroidectomy
Eligibility Criteria
Inclusion Criteria: undergoing thyroid surgery, either hemi- or total thyroidectomy over 18 years-old and able to consent for themselves Exclusion Criteria: have had previous neck surgery have coagulation disorders on anticoagulants are pregnant allergic to bupivacaine anyone with chronic pain conditions has received steroid injections or used opioids/pain medications in the two weeks leading up to surgery have a substernal goiters undergoing lateral neck lymph node dissection unable to take NSAIDs kidney dysfunction (defined as GFR <60) within 90 days of surgery, prohibiting the use of NSAIDs
Sites / Locations
- UC Davis Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Bilateral superficial cervical plexus blocks + local wound infiltration
placebo + local wound infiltration
the bilateral superficial cervical plexus block will be performed with 10mL of 0.25% Bupivacaine injected bilaterally (total 20mL) at Erb's point in the lateral neck, which is located at the mid-point between the mastoid process and the posterior border of the clavicular head of the sternocleidomastoid muscle. The injection is just below the lateral border of the sternocleidomastoid muscle, which produces surface level anesthesia of the neck, targeting superficial nerves of the cervical plexus. Then 10mL of 0.25% Bupivacaine will be injected at the planned neck incision (local wound infiltration) on the anterior neck. These will be done intra-operative and only once
10mL of 0.25% bupivacaine injected at the planned neck incision (local wound infiltration), with 10mL of normal saline injected at bilateral Erb's point (total 20mL) (placebo at site of BSCPB). These will be done intra-operative and only once.