000			03055cam a2200325 a 4500
003			EG-GiCUC
008			161017s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.01.M.Sc.2016.Sa.E
100	0		_aSally Abdelrahman Salah Eldeen Elbeih
245	1	4	_aThe effect of adding dexamethasone to bupivacaine in bilateral superficial cervical plexus block in thyroid surgeries / _cSally Abdelrahman Salah Eldeen Elbeih ; Supervised Amany Kamal Elsawy , Mohamed Ahmed Mansour , Ahmed Mohammed Ibrahim Hasanin
246	1	5	_aدراسة تأثير اضافة عقار الديكيساميثازون الى عقار البيوبيفاكين في التخدير السطحي للضفيرة العصبية العنقية على الجانبين في عمليات الغدة الدرقية
260			_aCairo : _bSally Abdelrahman Salah Eldeen Elbeih , _c2016
300			_a57 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Anesthesia
520			_aIntroduction Superficial cervical plexus block is a popular block for thyroid operations. Dexamethasone was reported as a useful adjuvant to local anesthetics in different peripheral nerve blocks. The aim of this work is to investigate the benefit of adding dexamethasone to bupivacaine in superficial cervical block Methods Twenty eight patients scheduled for thyroid operations were included in the study. All patients received superficial cervical plexus block by 15 ml bupivacaine after induction of general anesthesia. Patients were divided into two groups: Group D (Dexamethasone group, n=14) received 8 mg dexamethasone in addition to Bupivacaine, Group C (Control group, n=14) received 2 ml normal saline in addition to Bupivacaine. Ptients were assessed intraoperatively and postoperatively for hemodynamics, pain score, and duration of postoperative analgesia. Results: Visual analogue scale (VAS) was lower in group D compared to group C. Durations of analgesia and sensory block were longer in group D {21.8hrs±5.3 vs 12.2hrs±7.7, P=0.0001*}{4.8hrs±0.2 vs 4.2hrs±0.2, P=0.0001*} respectively. Total postoperative analgesic consumption was lower in group D. No difference was observed between the two study groups regarding demographic data, hemodynamic data, and postoperative nausea and vomiting. Conclusion Adding dexamethasone (8mg) to Bupivacaine in superficial cervical plexus block prolongs the duration of analgesia, and reduces postoperative analgesic requirements after thyroid operations.
530			_aIssued also as CD
653		4	_aBilateral superficial cervical plexus block
653		4	_aDexamethasone
653		4	_aThyroid operations
700	0		_aAhmed Mohammed Ibrahim Hasanin , _eSupervisor
700	0		_aAmany Kamal Elsawy , _eSupervisor
700	0		_aMohamed Ahmed Mansour , _eSupervisor
905			_aNazla _eRevisor
905			_aSoheir _eCataloger
942			_2ddc _cTH
999			_c58122 _d58122