Cervical plexus block

Kim, Jin-Soo; Ko, Justin Sangwook; Bang, Seunguk; Kim, Hyungtae; Lee, Sook Young

doi:10.4097/kja.d.18.00143

Cited by 73 publications

(69 citation statements)

References 139 publications

(227 reference statements)

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“…Foramen narrowing may present as a sharp arm or neck pain, paraesthesia, numbness, or tingling sensation with symptoms spreading to the distal portion of the arms. Compression or irritation of the cervical nerve root as it travels through a neural foramen causes cervical radiculopathy 2–4. Motor symptoms such as weakness may sometimes accompany sensory symptoms in aggravated narrowing 5–7.…”

Section: Introductionmentioning

confidence: 99%

<p>Best cut-off point of the cervical facet joint area as a new morphological measurement tool to predict cervical foraminal stenosis</p>

Hong

Kim

et al. 2019

JPR

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Purpose: One of the main factor of cervical foraminal stenosis (CFS) is the hypertrophic change of the cervical facet joint. In order to analyze the connection between CFS and the facet joint hypertrophy, we devised a new morphological parameter, called the cervical facet joint cross-sectional area (CFJA). The CFJA has not yet been investigated for its association with CFS. We hypothesized that the CFJA is an important morphologic parameter in the diagnosis of CFS. Patients and methods: All patients over 50 years of age were included. Data regarding the CFJA were collected from 160 subjects with CFS. A total of 162 control individuals underwent cervical spine magnetic resonance imaging (CMRI) as part of a routine medical examination. Axial T2-weighted CMRI images were acquired from all subjects. We used a picture archiving system to analyze the cross-sectional area of the bone margin of the cervical facet joint at the level of the most stenotic cervical spine in the axial plane. Results: The average CFJA was 109.07±20.91 mm 2 in the control group, and 126.75±22.59 mm 2 in the CFS group. The CFS group was found to have significantly higher levels of the CFJA ( p <0.001) than the control group. ROC curve estimation was used to verify the validity of the CFJA as a new predictor of CFS. In the CFS group, the best cut off-point was 113.14 mm 2 , with sensitivity =70.6%, specificity =68.6%, and AUC =0.72 (95% CI, 0.66–0.77). Conclusions: CFJA high values were closely associated with a possibility of CFS. We concluded CFJA is easy to use, fast, and useful new morphological parameter to predict CFS.

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Section: Introductionmentioning

confidence: 99%

<p>Best cut-off point of the cervical facet joint area as a new morphological measurement tool to predict cervical foraminal stenosis</p>

Hong

Kim

et al. 2019

JPR

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“…As this region is innervated by the supraclavicular nerve, a branch of the cervical plexus, we elected to perform an ultrasound‐guided superficial cervical plexus block. Superficial cervical plexus block has established efficacy in carotid endartectomy and clavicular surgery . In this patient the analgesia of the neck wound was excellent.…”

Section: Discussionmentioning

confidence: 71%

Triple regional anaesthesia technique in resection of left pleuropulmonary sarcoma and left subclavian artery bypass

Dillon¹,

Johnston

2019

Anaesthesia Reports

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A 28-year-old woman presented for excision of a left-sided pleuropulmonary sarcoma which was adherent to her left subclavian artery and mediastinum. A left upper lobe wedge resection was performed via a median sternotomy and a left carotid artery-to-left subclavian artery bypass was performed through a left supraclavicular incision. We report on a triple regional anaesthesia technique to provide postoperative analgesia. We inserted bilateral transverse thoracic plane catheters for continuous local anaesthetic infusion and performed bilateral subcostal transversus abdominus plane blocks for drain site analgesia. A left superficial cervical plexus block was performed to cover pain from the supraclavicular incision. Anteromedial chest wall blocks are an emerging analgesic technique for sternotomy and were successfully used as part of a combined regional anaesthetic for a patient undergoing complex thoracic surgery.

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“…[7] The superficial cervical plexus block results in anesthesia of skin over the anterolateral neck, skin overlying the clavicle and the sternoclavicular joint, and anterior and retroauricular areas, and thus the areas of our interest. [78] Blocking the superficial cervical plexus involves a field block by subcutaneous injection of local anesthetic. [9] Thus, a combined block of brachial plexus and superficial cervical plexus (dual block) is desirable for our patients undergoing clavicular surgeries.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery: A comparative analysis

2019

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Background: General anesthesia is preferred for clavicular surgeries. With the advent of ultrasound-guided technology, interscalene brachial plexus block with superficial cervical nerve block has become a new option for providing intraoperative anesthesia and postoperative analgesia for surgeries of the clavicle. Aims and Objectives: The present study compares the ultrasound-guided interscalene brachial plexus nerve block combined with superficial cervical nerve block to general anesthesia in clavicular surgery. Settings and Design: This study was a randomized controlled trial in a tertiary care setting. Materials and Methods: A total of 60 patients between 18 and 60 years who were scheduled for clavicular surgeries were randomly and equally divided into Group B and Group G. Group B received ultrasound-guided interscalene brachial plexus block with superficial cervical nerve block. Group G received general anesthesia. Time duration between start of anesthesia to the incision time, intraoperative vitals, and time spent in postanesthesia care unit, postoperative pain scores, postoperative analgesic consumption, and complications were noted and compared. Statistical Analysis: Statistical analyses were done using SPSS software 20.0. Normality tests were applied, and accordingly, parametric and nonparametric tests were used to calculate the results. Results: The demographic data were comparable in both the groups. Time duration between start of anesthesia to the incision time was significantly more in Group B than in Group G. The time spent in postanesthesia care unit and postoperative pain scores were significantly more in Group G than Group B. Total postoperative opioid consumption was significantly less in Group B than in Group G. Conclusion: Ultrasound-guided interscalene brachial plexus block combined with superficial cervical nerve block is a safe and effective mode of anesthesia in comparison to general anesthesia for clavicle surgeries.

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Cervical plexus block

Cited by 73 publications

References 139 publications

<p>Best cut-off point of the cervical facet joint area as a new morphological measurement tool to predict cervical foraminal stenosis</p>

<p>Best cut-off point of the cervical facet joint area as a new morphological measurement tool to predict cervical foraminal stenosis</p>

Triple regional anaesthesia technique in resection of left pleuropulmonary sarcoma and left subclavian artery bypass

Ultrasound-guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery: A comparative analysis

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