Comparison of Superficial Cervical Plexus Block Versus Local Infiltration for Pain Relief During Internal Jugular Vein Cannulation
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 9
Abstract
Introduction: Cannulation of internal jugular vein is an indispensable requirement for patients undergoing cardiac surgeries. Generally it is done before induction by giving patients mild sedation and local infiltration of local anaesthetic agent over the neck. In spite of that, patients do complain of discomfort during the procedure which is then accompanied by haemodynamic changes, especially during subcutaneous tunneling and placement of sutures to secure the cannula. The superficial cervical plexus innervates the skin of the jaw, neck and the area close to the clavicle. Keeping this in mind, this study was designed to compare the analgesic effect of the superficial cervical plexus block with local infiltration, and assess the sympathetic response during internal jugular vein cannulation. Material and Methods: An open labelled, prospective, randomized controlled trial was conducted to compare pain relief during internal jugular cannulation after local infiltration with that after superficial cervical plexus block. 200 ASA grade III & IV patients scheduled for various cardiac surgeries were recruited for this study. They were randomly assigned to receive either superficial cervical plexus block (Group I) or local infiltration (Group 2) for analgesia during the cannulation. Patients were monitored for changes in haemodynamic values and evaluated for pain during various stages of the cannulation procedure. Any side effects were also noted. Due to demographic profile of our patients and the ease of use, a simple verbal pain score was used to assess pain. Results: There was statistically no difference in both the groups with respect to demographic profile like age and sex. The pain scores and values of haemodynamic parameters during the procedure of subcutaneous tunneling/dilatation were lower in Group I than in Group II. The difference was statistically significant. No complications were noted in any groups. Conclusion: The study confirmed that superficial cervical plexus block is superior to local infiltration in terms of pain relief during internal jugular vein cannulation in awake patients. Patients in the superficial cervical plexus block group showed more stable haemodynamics throughout the procedure than those in the local infiltration group.
Authors and Affiliations
Harshwardhan A. Tikle, Bhaskar Murlidhar Patil
Keywords
Related Articles
- EP ID EP432108
- DOI -
- Views 97
- Downloads 0
Impact of Dentures Wearing on Spirometric Values; Data from Tertiary Rural Centre
Introduction: Spirometry is a common test routinely performed in chest outpatient department. Doing spirometry in edentulous COPD patients is a daunting task as many times they are not able to perform it correctly. Not m...
Epidemiological Trends of Various STDs in Patients Attending Osmania General Hospital from Jan-Dec 2014
Introduction: Prevalence of Sexually transmitted diseases (STDs) at Osmania General Hospital from Jan-Dec 2014 was noted and compared with the other studies available in the literature. Study aimed to check the prevalenc...
Iatrogenic Cushing’s Syndrome in Admitted Patients to a Rural Based Medical College Hospital
Introduction: Drug induced hypercorticolism is the most common cause of Cushing’s syndrome. Study aimed to find out various presentations of iatrogenic Cushing’s Syndrome, occurrence and to make the clinicians and public...
Prevalence of Elevated Anti-Thyroid Peroxidase Antibodies in Subclinical Hypothyroidism
Introduction: Autoimmune thyroiditis is a common cause of subclinical hypothyroidism (SCH). The progression of SCH to overt hypothyroidism depends on multiple factors of which elevated thyroid peroxidase antibody (anti-T...
Clinical Study of Visual Prognosis in Lens Induced Glaucoma
Introduction: Lens Induced Glaucoma (LIG) is a clinical condition characterized by secondary glaucoma in one eye with senile mature cataract, hyper mature senilecataract(rarely immature senile cataract) yet with an open...