Sedation and Regional Anesthesia for Deep Brain Stimulation in Parkinson’s Disease

Objective. To present the conscious sedation and the regional anesthesia technique, consisting of scalp block and superficial cervical plexus block, used in our institution for patients undergoing deep brain stimulation (DBS) for the treatment of Parkinson’s disease (PD). Methods. The study included 26 consecutive patients. A standardized anesthesia protocol was used and clinical data were collected prospectively. Results. Conscious sedation and regional anesthesia were used in all cases. The dexmedetomidine loading dose was 1 μg kg−1 and mean infusion rate was 0.26 μg kg−1 h−1 (0.21) [mean total dexmedetomidine dose: 154.68 μg (64.65)]. Propofol was used to facilitate regional anesthesia. Mean propofol dose was 1.68 mg kg (0.84) [mean total propofol dose: 117.72 mg (59.11)]. Scalp block and superficial cervical plexus block were used for regional anesthesia. Anesthesia related complications were minor. Postoperative pain was evaluated; mean visual analog scale pain scores were 0 at the postoperative 1st and 6th hours and 4 at the 12th and 24th hours. Values are mean (standard deviation). Conclusions. Dexmedetomidine sedation along with scalp block and SCPB provides good surgical conditions and pain relief and does not interfere with neurophysiologic testing during DBS for PD. During DBS the SCPB may be beneficial for patients with osteoarthritic cervical pain. This trial is registered with Clinical Trials Identifier NCT01789385.

Download Full-text

Combined Interscalene and Superficial Cervical Plexus Block for Clavicle Surgery: Case Series

Nepal Medical Journal ◽

10.37080/nmj.28 ◽

2019 ◽

Vol 2 (1) ◽

pp. 95-97

Author(s):

Kiran Kumar K.C. ◽

Sundar Hyoju ◽

Pawan kumar Raya ◽

Chhanda Budhathoki ◽

Ram Prasad Sharma ◽

...

Keyword(s):

Regional Anesthesia ◽

Brachial Plexus Block ◽

Clavicle Fracture ◽

Case Series ◽

Anesthetic Technique ◽

Cervical Plexus ◽

Interscalene Brachial Plexus Block ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

General Anesthesia is preferred over regional anesthesia in clavicle surgery. We report 3 cases of clavicle fracture which was performed under USG guided combined Interscalene and Superficial cervical plexus block. All the patients were comfortable and there was no need for additional analgesia. Thus regional anesthesia can be used as a sole anesthetic technique in patients with clavicle fracture and can be an alternative where general anaesthesia and its adverse effects needs to be avoided. Keywords: clavicle fracture; interscalene brachial plexus block; superficial cervical plexus block. Correspondance: Dr.

Download Full-text

Thyroid Surgeries under bilateral superficial cervical plexus block – A Case Series

Journal of Anaesthesia and Critical Care Reports ◽

10.13107/jaccr.2021.v07i02.176 ◽

2021 ◽

Vol 7 (2) ◽

Keyword(s):

Regional Anesthesia ◽

Thyroid Surgery ◽

Case Series ◽

Moderate Intensity ◽

Ultrasound Guided ◽

Cervical Plexus ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block ◽

Anesthesia Procedure

Superficial cervical plexus block is a simple regional anesthesia procedure which can be performed by landmark guided as well as ultrasound-guided techniques. It has been used to provide anesthesia or analgesia for various procedures involving superficial surgeries in the neck and shoulder. The pain after thyroid surgery is of mild to moderate intensity and of short duration. I describe 12 cases in which bilateral superficial cervical plexus block was performed to conduct awake thyroid surgeries. Keywords: Thyroid surgery, Superficial cervical plexus block, regional anesthesia, neck surgeries, analgesia.

Download Full-text

Superficial Cervical Plexus Block for Postoperative Analgesia

Case Medical Research ◽

10.31525/ct1-nct04036812 ◽

2019 ◽

Author(s):

Keyword(s):

Postoperative Analgesia ◽

Cervical Plexus ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

Download Full-text

Faculty of 1000 evaluation for Randomized clinical trial of intraoperative superficial cervical plexus block versus incisional local anaesthesia in thyroid and parathyroid surgery.

F1000 - Post-publication peer review of the biomedical literature ◽

10.3410/f.718177955.793489256 ◽

2014 ◽

Author(s):

Mario Salvi

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Local Anaesthesia ◽

Parathyroid Surgery ◽

Cervical Plexus ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

Download Full-text

Ultrasound-guided superficial cervical plexus block for analgesia in patients undergoing craniotomy via suboccipital retrosigmoid approach: study protocol of a randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2019-034003 ◽

2020 ◽

Vol 10 (2) ◽

pp. e034003

Author(s):

Kun Peng ◽

Min Zeng ◽

Jia Dong ◽

Xiang Yan ◽

Dexiang Wang ◽

...

Keyword(s):

Nerve Block ◽

Rating Scale ◽

Numerical Rating Scale ◽

Controlled Trial ◽

Control Group ◽

Cervical Plexus ◽

Ethics Review ◽

Superficial Cervical Plexus Block ◽

Cervical Plexus Block ◽

Plexus Block

IntroductionScalp nerve block has been proven to be an alternative choice to opioids in multimodal analgesia. However, for the infratentorial space-occupying craniotomy, especially the suboccipital retrosigmoid craniotomy, scalp nerve block is insufficient.Methods and analysisThe study is a prospective, single-centre, randomised, paralleled-group controlled trial. Patients scheduled to receive elective suboccipital retrosigmoid craniotomy will be randomly assigned to the superficial cervical plexus block group or the control group. After anaesthesia induction, superficial cervical plexus nerve block will be performed under the guidance of ultrasound. The primary outcome is the cumulative consumption of sufentanil by the patient-controlled intravenous analgesia pump within 24 hours after surgery. Secondary outcomes include the cumulative consumption of sufentanil at other four time points and numerical rating scale pain severity score.Ethics and disseminationThe protocol (version number: 2.0, 10 April 2019) has been approved by the Ethics Review Committee of China Registered Clinical Trials (Ethics Review No. ChiECRCT-20190047). The findings of this study will be disseminated in peer-reviewed journals and at scientific conferences.Trial registration numberNCT04036812

Download Full-text