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Head And Neck

Cervical Plexus Block

Head And Neck
Figure 1: Needle insertion for superficial cervical plexus block. The needle is inserted behind the posterior border of the sternocleidomastoid muscle. Essentials Indications: carotid endarterectomy, superficial neck surgery Landmarks: mastoid process, sternocleidomastoid muscle, C6 transverse process Equipment, superficial: 1½-in, 25-gauge needle Equipment, deep: 2-in, 22-gauge, short bevel needle connected to a syringe via a flexible tubing Local anesthetic: 15-20 mL General Considerations Cervical plexus block can be performed using two different methods. One is a deep cervical plexus block, which is essentially a paravertebral block of the C2-4 spinal nerves (roots) as they emerge from the foramina of their respective vertebrae. The other method is a superficial cervical plexus bl...