Ultrasound-guided subcutaneous cervical plexus block for carotid endarterectomy in a patient with chronic obstructive pulmonary disease

Shin, Hyeon Ju; Yu, Hae Na; Yoon, Seung Zhoo

doi:10.1007/s00540-013-1702-9

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The superficial CPB is conventionally described as a subcutaneous injection technique performed at the mid-portion of the posterior border of the SCM muscle targeting superficial branches of the cervical plexus [ 12 , 13 ]. This conventional subcutaneous infiltration technique for the superficial CPB can be performed using an ultrasound guided technique [ 68 ], and, depending on the types of surgery in the head and neck region, it is also possible to block one or more superficial branches of the cervical plexus selectively by using landmarks [ 1 , 4 , 69 , 70 ] or an ultrasound technique [71–74]. The superficial CPB, unlike the deep CPB, is known to carry a low risk of complications and is easy to master [ 12 , 59 , 75 ].…”

Section: Cervical Plexus Block Methodsmentioning

confidence: 99%

Cervical plexus block

Kim

Bang

et al. 2018

Korean J Anesthesiol

View full text Add to dashboard Cite

Cervical plexus blocks (CPBs) have been used in various head and neck surgeries to provide adequate anesthesia and/or analgesia; however, the block is performed in a narrow space in the region of the neck that contains many sensitive structures, multiple fascial layers, and complicated innervation. Since the intermediate CPB was introduced in addition to superficial and deep CPBs in 2004, there has been some confusion regarding the nomenclature and definition of CPBs, particularly the intermediate CPB. Additionally, as the role of ultrasound in the head and neck region has expanded, CPBs can be performed more safely and accurately under ultrasound guidance. In this review, the authors will describe the methods, including ultrasound-guided techniques, and clinical applications of conventional deep and superficial CPBs; in addition, the authors will discuss the controversial issues regarding intermediate CPBs, including nomenclature and associated potential adverse effects that may often be neglected, focusing on the anatomy of the cervical fascial layers and cervical plexus. Finally, the authors will attempt to refine the classification of CPB methods based on the target compartments, which can be easily identified under ultrasound guidance, with consideration of the effects of each method of CPB.

show abstract