Comparison of Local Infiltration Versus Superficial Cervical Plexus Block for Central Venous Catheter Insertion in Awake Adult Patients

Authors

  • Zafarullah Khan Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Abid khan Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Faisal Niaz Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Salman Iqbal Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Deepak Rai Doltani Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Anjum Anwar Qadri Department of Anesthesia, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i1.12115

Keywords:

Central Venous Catheter, Lignocaine, Linkert score, Superficial Cervical Plexus Block, Pain, and Satisfaction.

Abstract

Objective: To measure the frequency of pain and satisfaction (Linkert score) with two local anesthesia techniques for central venous line insertion in awake patients.

Study Design: Quasi-Experimental Study.

Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi, Pakistan from Jul to Dec 2023.

Methodology: After seeking approval from the Ethical Committee, a sample of 170 patients was randomized into two Groups. One Group was given subcutaneous local infiltration, and the other was given a superficial cervical plexus block before central venous catheter insertion.

Results: There were 40(47.1%) patients in Group LWI who felt mild pain, 42(49.4%) patients who felt moderate pain, and 3(3.5%) patients who felt severe pain. 41(48.2%) patients were satisfied in Group LWI and 44(51.8%) patients were not satisfied with the intervention. In Group, CPB, 71(83.5%) patients experienced mild pain, and 13(15.3%) patients experienced moderate pain. None of the patients felt severe pain, with a value of less than 0.001. Seventy-two (84.7%) patients in Group CPB were satisfied, while only 13(15.3%) conveyed dissatisfaction on the basis of linkert score.

Conclusion: We concluded that the superficial cervical plexus block provided superior analgesia for central venous catheter placement in awake patients with better patient satisfaction.

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Published

28-02-2025

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Original Articles

How to Cite

1.
Khan Z, khan A, Niaz F, Iqbal S, Doltani DR, Qadri AA. Comparison of Local Infiltration Versus Superficial Cervical Plexus Block for Central Venous Catheter Insertion in Awake Adult Patients. Pak Armed Forces Med J [Internet]. 2025 Feb. 28 [cited 2025 Mar. 28];75(1):152-6. Available from: https://pafmj.org/PAFMJ/article/view/12115