Abstract：
OBJECTIVE: To compare the effectiveness of the superficial cervical plexus (SCP) and ultrasonography (USG)-guided intermediate cervical plexus (ICP) blocks for patient and operator satisfaction during central venous catheterisation (CVC).
METHODS: Experimental study. Place and Duration of the Study: Department of Anaesthesiology and Reanimation, Konya City Hospital, Konya, Turkiye, between May and July 2022.
METHODS: Eighty patients were randomly assigned to the ICP and SCP block groups before CVC. Patients received 10ml of a local anaesthesia. Pain levels were assessed during needle insertion, dilation, catheter insertion, and suturing, and 5 minutes after the procedure using a 10-point numeric rating scale (NRS). Thirty minutes post-procedure, patient and operator satisfaction were evaluated using a 5-point Likert-type scale.
RESULTS: The ICP block group had lower mean pain scores than the SCP block group during needle entry, dilation, and 5 minutes after CVC (p = 0.022, p <0.001, and p = 0.005, respectively). However, no significant differences were found in pain scores after the block application, during catheter insertion, and suturing (p = 0.279, p = 0.052, and p = 0.072, respectively). Patient and operator satisfaction scores did not significantly differ between the two groups (p = 0.189 and p = 0.329, respectively).
CONCLUSIONS: The study demonstrated that the ICP and SCP blocks resulted in comparable patient and operator satisfaction levels during CVC. Given that the ICP block resulted in lower pain scores at various stages of the procedure, it is a recommended method to enhance overall patient comfort and minimise the pain during CVC.
BACKGROUND: Central venous catheterisation, Intermediate cervical plexus block, Superficial cervical plexus block, Patient satisfaction.
METHODS: Experimental study. Place and Duration of the Study: Department of Anaesthesiology and Reanimation, Konya City Hospital, Konya, Turkiye, between May and July 2022.
METHODS: Eighty patients were randomly assigned to the ICP and SCP block groups before CVC. Patients received 10ml of a local anaesthesia. Pain levels were assessed during needle insertion, dilation, catheter insertion, and suturing, and 5 minutes after the procedure using a 10-point numeric rating scale (NRS). Thirty minutes post-procedure, patient and operator satisfaction were evaluated using a 5-point Likert-type scale.
RESULTS: The ICP block group had lower mean pain scores than the SCP block group during needle entry, dilation, and 5 minutes after CVC (p = 0.022, p <0.001, and p = 0.005, respectively). However, no significant differences were found in pain scores after the block application, during catheter insertion, and suturing (p = 0.279, p = 0.052, and p = 0.072, respectively). Patient and operator satisfaction scores did not significantly differ between the two groups (p = 0.189 and p = 0.329, respectively).
CONCLUSIONS: The study demonstrated that the ICP and SCP blocks resulted in comparable patient and operator satisfaction levels during CVC. Given that the ICP block resulted in lower pain scores at various stages of the procedure, it is a recommended method to enhance overall patient comfort and minimise the pain during CVC.
BACKGROUND: Central venous catheterisation, Intermediate cervical plexus block, Superficial cervical plexus block, Patient satisfaction.
摘要：
目的：比较颈浅丛（SCP）和超声（USG）引导下中间颈丛（ICP）阻滞在中心静脉置管（CVC）期间对患者和操作者满意度的影响。
方法：实验研究。研究的地点和持续时间：麻醉学和复活系，科尼亚市医院，Konya,Turkiye,2022年5月至7月。
方法：80例患者在CVC之前被随机分配到ICP和SCP阻滞组。患者接受10ml局部麻醉。在针头插入过程中评估疼痛程度，膨胀,导管插入,缝合，手术后5分钟，使用10分数字评定量表（NRS）。手术后30分钟，采用5分Likert型量表评估患者和操作者满意度.
结果：ICP阻滞组的平均疼痛评分低于SCP阻滞组，膨胀,和CVC后5分钟（分别为p=0.022，p<0.001和p=0.005）。然而,应用区组后疼痛评分无显著差异,在导管插入期间,和缝合（分别为p=0.279，p=0.052和p=0.072）。两组患者和操作者满意度评分无显著差异（分别为p=0.189和p=0.329）。
结论：研究表明，在CVC期间，ICP和SCP阻滞导致患者和操作者的满意度相当。鉴于ICP阻滞在手术的各个阶段导致较低的疼痛评分，这是一种推荐的方法，以提高患者的整体舒适度和减少CVC期间的疼痛。
背景：中心静脉导管插入术，中间颈丛阻滞,浅颈丛阻滞,患者满意度。
方法：实验研究。研究的地点和持续时间：麻醉学和复活系，科尼亚市医院，Konya,Turkiye,2022年5月至7月。
方法：80例患者在CVC之前被随机分配到ICP和SCP阻滞组。患者接受10ml局部麻醉。在针头插入过程中评估疼痛程度，膨胀,导管插入,缝合，手术后5分钟，使用10分数字评定量表（NRS）。手术后30分钟，采用5分Likert型量表评估患者和操作者满意度.
结果：ICP阻滞组的平均疼痛评分低于SCP阻滞组，膨胀,和CVC后5分钟（分别为p=0.022，p<0.001和p=0.005）。然而,应用区组后疼痛评分无显著差异,在导管插入期间,和缝合（分别为p=0.279，p=0.052和p=0.072）。两组患者和操作者满意度评分无显著差异（分别为p=0.189和p=0.329）。
结论：研究表明，在CVC期间，ICP和SCP阻滞导致患者和操作者的满意度相当。鉴于ICP阻滞在手术的各个阶段导致较低的疼痛评分，这是一种推荐的方法，以提高患者的整体舒适度和减少CVC期间的疼痛。
背景：中心静脉导管插入术，中间颈丛阻滞,浅颈丛阻滞,患者满意度。
