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Master Thesis

Le bloc cervical intermédiaire pour l'analgésie après chirurgie du rachis cervical par voie antérieure : étude comparative, rétrospective, monocentrique

Abstract : Anterior cervical discectomy and fusion (ACDF) is sometimes necessary in the context of cervical osteoarthritis or cervical hernia but is responsible for postoperative pain. Intermediate cervical plexus block (BCI) is a locoregional anesthesia technique aimed at reducing this pain, but its effectiveness has not been studied in this type of surgery. The object of our study is to evaluate the efficacy of BCI in postoperative analgesia of ACDF. Material/Method: Two-group retrospective analysis of patients operated for ACDF surgery between November 2016 and November 2020. The primary endpoint was the consumption of morphine (expressed in oral morphine equivalent) in the first 24 hours after surgery. The secondary endpoints were: the time taken for the first postoperative analgesic intake, the length of stay in hospital, the length of time spent in SSPI, the need for morphine titration in the post-intervention monitoring room (SSPI) and postoperative pain scores up to 48 hours (Numerical scale). Results: The mean consumption of morphine for the first 24 hours was 33 mg in group 1 versus 25 mg in group 2 (p <0.05). Maximum VAS in the first 48 hours was 4/10 in group 1 and 3/10 in group 2 (p=0.0214) Conclusion: Performing BCI in surgery for ACDF (osteoarthritis or hernia) appears to be effective in reducing postoperative morphine consumption and reducing pain scores.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03554417
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Submitted on : Thursday, February 3, 2022 - 11:26:09 AM
Last modification on : Thursday, March 17, 2022 - 3:25:02 AM
Long-term archiving on: : Wednesday, May 4, 2022 - 7:47:19 PM

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Claire Champion. Le bloc cervical intermédiaire pour l'analgésie après chirurgie du rachis cervical par voie antérieure : étude comparative, rétrospective, monocentrique. Médecine humaine et pathologie. 2021. ⟨dumas-03554417⟩

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