Superficial cervical plexusblock
Superficial (and Intermediate) Cervical Plexus Block
Dr David Stoeter
Content
Indications
Specific Contraindications
Anatomy
Technique
Volume of LA
Specific complications
Bibliography
Please view the full article HERE.
Indications:
–Lymph node excision (within the anterior and posterior triangles of the neck)
–Clavicular surgery or fractures (may require intermediate cervical plexus block and its combination with interscalene block, see below)
–Central Venous Catheters: Renal replacement therapy central venous catheters, tunnelled central venous catheters and portacaths inserted into the subclavian or jugular veins (may require combination with ‘Pecs 1’ block for component of pain below the clavicle)
–Tracheostomy (see below discussion on safety profile of performing bilateral blocks and risks of respiratory distress due to phrenic nerve or recurrent largyngeal nerve block)
-More commonly in adults: thyroid (again, bilateral) and carotid surgery