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

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.

scholarly journals Regional Anaesthesia in Clavicle Surgery

2017 ◽  
Vol 56 (206) ◽  
Author(s):  
Babu Raja Shrestha ◽  
Puja Sharma
Keyword(s):  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Routine Practice ◽  
Clavicular Fracture ◽  
Cervical Plexus ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

In routine practice, regional anaesthesia is less commonly used for clavicular fracture compared to general anaesthesia. We report two cases of clavicle fracture for which operative treatment was done under combined superficial cervical plexus andinterscalene brachial plexus block. Inboththe cases combination of ropivacaine anddexmeditomidine was used forblock. Both the patients exhibited comfort and there was no additional analgesic demand in both the cases.Thuscombination ofinterscalene and superficial cervical plexus block can prove to be useful in patients with clavicle fracture where administration of general anaesthesia and its adverse effects could be avoided. [PubMed]

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

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.

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

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Onur Ozlu ◽  
Sema Sanalbas ◽  
Dilek Yazicioglu ◽  
Gulten Utebey ◽  
Ilkay Baran
Keyword(s):  
Deep Brain Stimulation ◽  
Regional Anesthesia ◽  
Brain Stimulation ◽  
Conscious Sedation ◽  
Cervical Plexus ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Scalp Block ◽  
Plexus Block ◽  
Deep Brain

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.

scholarly journals Comparison of Ultrasound Guided Interscalene and Supraclavicular Brachial Plexus Block for Clavicle Fracture Surgery

2018 ◽  
Vol 14 (4) ◽  
pp. 189-195
Author(s):  
Lalit Kumar Rajbanshi ◽  
Batsalya Arjyal ◽  
Akriti Bajracharya ◽  
Kanak Khanal
Keyword(s):  
Brachial Plexus ◽  
Motor Block ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Care Hospital ◽  
Cervical Plexus ◽  
Supraclavicular Approach ◽  
Supraclavicular Brachial Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

Introduction:The clavicle has dual nerve supply from the brachial plexus and cervical plexus. The interscalene brachial plexus block combined with superior cervical plexus block is frequently used for the clavicle surgery. This study was conducted to compare ineterscalene approach with the supraclavicular approach for brachial plexus block used for clavicle surgery Methodology:This was prospective comparative study conducted for two years in tertiary care hospital. Sixty patients with clavicle fracture with ASA I and II were randomly divided into two equal groups; ISBPB (interscalene approach) and SCBPB (supraclavicular approach). Both of these blocks were combined with superior cervical plexus block.  Ultrasound was used to perform all the blocks. Primary outcome for the comparison was block characteristics, which included sensory and motor block onset, duration, and block satisfaction. The secondary variables used for comparison were analgesic properties and complications. Results: Supraclavicular brachial plexus had rapid onset of sensory and motor block and was statistically significant (P<0.05) as compared to interscalene approach. Similarly, SCBPB had significantly longer duration of sensory block (P=0.003). The duration of motor block was comparable between the blocks. The intraoperative pain score (VAS), requirement of rescue analgesia with in 24 hours of surgery and complications related with the procedures were comparable between the two groups. Majority of the patients were satisfied with either of the approach for brachial plexus block. Conclusion: Supraclavicular brachial plexus block combined with superior cervical plexus block provided equally effective and adequate anesthesia and analgesia for clavicle surgery with comparable complications as compared to interscalene approach.

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