Ultrasound-guided intermediate cervical plexus and additional peripheral facial nerve block for carotid endarterectomy

2018 ◽  
Vol 67 (12) ◽  
pp. 907-913 ◽  
Author(s):  
R. Seidel ◽  
K. Zukowski ◽  
A. Wree ◽  
M. Schulze
Author(s):  
Stuart A. Grant ◽  
David B Auyong

This chapter describes the clinical anatomy and outlines the tools and techniques needed to perform upper extremity ultrasound-guided nerve blocks. The nerve blocks above the clavicle described here include the interscalene, dorsal scapular, suprascapular, cervical plexus, and supraclavicular blocks. Nerve blocks below the clavicle described here include the infraclavicular and axillary blocks and distal blocks at the wrist and elbow. For each nerve block, the indications, risks, and benefits of the varying approaches are described in detail. The chapter includes step-by-step instructions with illustrations, including cadaver dissections, to allow the operator to perform clinically effective and safe ultrasound-guided upper extremity regional anesthesia. At the conclusion of each block description, a “Pearls” segment highlights important tips gained from our clinical experience. This chapter provides the practitioner with thorough instruction and knowledge allowing optimal delivery of regional anesthesia for any upper extremity surgery or trauma.


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