DOI: https://doi.org/10.36347/sasjs.2026.v12i01.004

Pages: 21-25

Background: Effective pain management after thyroidectomy is essential to enhance recovery and minimize opioid-related adverse effects. Regional anesthesia techniques such as bilateral superficial cervical plexus block (BSCPB) may improve perioperative analgesia. This study aimed to evaluate the analgesic efficacy and safety of BSCPB as an adjunct to general anesthesia in patients undergoing partial thyroidectomy. Methods: This randomized controlled trial included 100 adult patients scheduled for elective partial thyroidectomy. Patients were allocated to receive either general anesthesia with BSCPB (Group A) or general anesthesia alone (Group B). Intraoperative hemodynamic parameters, opioid consumption, postoperative pain scores, analgesic requirements, adverse events and patient satisfaction were assessed. Results: Baseline demographic and surgical characteristics were comparable between groups. Group A demonstrated significantly lower intraoperative peak heart rate (85.1 ± 6.7 vs. 93.8 ± 7.2 beats/min) and mean arterial pressure (89.2 ± 6.3 vs. 95.6 ± 7.1 mmHg), alongside reduced fentanyl consumption (55.2 ± 10.3 vs. 88.5 ± 12.7 µg; p < 0.001). Postoperative VAS pain scores were significantly lower at all assessed intervals up to 24 hours (p < 0.01). Total tramadol consumption was reduced (68.2 ± 15.7 vs. 116.5 ± 21.4 mg) and time to first rescue analgesic was prolonged (435 ± 88 vs. 212 ± 66 minutes). Patient satisfaction scores were higher in Group A, with no significant increase in adverse events. Conclusion: BSCPB significantly improves perioperative analgesia, reduces opioid requirements and enhances patient satisfaction following partial thyroidectomy without compromising safety.