Horner’s Syndrome after Superficial Cervical Plexus Block

Flores, Stefan; Riguzzi, Christine; Herring, Andrew A.; Nagdev, Arun

doi:10.5811/westjem.2015.2.25336

Cited by 30 publications

(21 citation statements)

References 7 publications

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“…(Table 3) DISCUSSION SCPB has been used in emergency settings for pain relief not only after clavicular fractures but in ear lobe and lateral neck injuries as well. 2,3 Ultrasound guided SCPB alone has been used by Herring AA et al to treat pain following clavicle fracture using 8 ml of 0.5% Bupivacaine. 2 Post-operative pain after clavicle surgeries in treated by various approaches to peripheral nerve blocks.…”

Section: Resultsmentioning

confidence: 99%

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Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures

Gupta¹,

Gupta²,

Gaurav³

et al. 2019

IJCMR

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Introduction: Regional anaesthesia is seldom used for clavicle fractures considering the anatomical location of the bone. We aim to compare the efficacy of two techniques of regional anaesthesia as sole anaesthesia technique for fixations of clavicular fractures. Material and methods: 60 Adult patients with clavicle fractures were divided randomly in two groups (1 and 2) and were administered interscalene block (ISB) only or interscalene block and superficial cervical plexus block(ISB+SCPB) as sole anaesthetic, respectively. Patients were monitored for efficacy of block and adequacy of anaesthesia and analgesia at the surgical site. Side effects and hemodynamic parameters were also monitored. Results:. ISB+SCPB provides excellent anaesthesia for clavicle fixation. Only 1 patient in group 2 required General Anaesthesia(GA) whereas in Group 1, 8 patients required some form of supplemental anaesthesia. There was no statistically significant difference in side-effects and hemodynamic profile in both the groups. Conclusion: ISB+SCPB is significantly better than ISB only for anaesthesia for fixation of clavicular surgeries.

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Section: Resultsmentioning

confidence: 99%

“…Consultant Anaeasthesiology, 2 Senior Resident Orthopaedics,3 Consultant Orthopaedics,4 Professor Anaesthesiology,5 Professor Orthopaedics, Jhansi Orthopaedic Hospital and Research Centre, India…”

mentioning

confidence: 99%

Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures

Gupta¹,

Gupta²,

Gaurav³

et al. 2019

IJCMR

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show abstract

“…[ 29 ] To minimize the risk of complications of the SCPB, several precautions should be taken such as awareness of the anatomy, ensuring to stay at the level of C4, shallow injection just under the SCM belly; and appropriate anesthetic volumes (2–5 mL). [ 35 ]…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided bilateral superficial cervical plexus block for thyroid surgery: The effect of dexmedetomidine addition to bupivacaine-epinephrine

Elmaddawy

Mazy

2018

Saudi J Anaesth

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Background:The thyroid gland surgery is a common and painful procedure demanding analgesia. Many regional techniques are applied for anterior neck surgeries mostly assigned in relation to the involved cervical fascia. Dexmedetomidine (Precedex) is a selective alpha 2 adrenoceptor agonist which prolongs the sensory blockade duration of local anesthetics. Our study hypothesis is that ultrasound (US)-guided bilateral superficial cervical plexus block (BSCPB) may provide longer analgesia when adding dexmedetomidine to bupivacaine-epinephrine.Purpose:The aim of this study is to evaluate the analgesic efficacy and possible side effects of US-guided BSCPB and the effect of dexmedetomidine addition to bupivacaine-epinephrine in patients undergoing thyroid surgery.Methods:This prospective, double-blind, randomized study was performed on 42 patients randomized into two equal groups each of 21; bupivacaine Group B and dexmedetomidine Group D. Patients with contraindications to regional anesthesia or uncontrolled comorbidities were excluded from the study. Total pethidine consumption in 24 h is the primary outcome. The visual analog scale, timing of the first opioid request, and hemodynamics are the secondary outcomes.Results:In Group D, there was a longer time to the first request of opioid postoperatively, a lower total pethidine consumption and pain score postoperatively, and lower fentanyl requirements intraoperatively.Conclusions:Sonographic-guided bilateral SCPB using a combination of bupivacaine, dexmedetomidine, and epinephrine was superior to bupivacaine for prolonged analgesia with less intra- and postoperative opioid consumption and lower side effect profile during thyroid surgery.

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“…Usui et al [ 42 ] and Civelek et al [ 151 ] described that the cervical sympathetic chains are situated immediately underneath the prevertebral fascia covering the longus muscles; on the contrary, in the 41th edition of Gray’s anatomy [ 152 ], it is stated that the cervical sympathetic trunk lies on the prevertebral fascia behind the carotid sheath. Nonetheless, the occurrence of Horner’s syndrome has been reported after superficial CPBs [ 59 ], combined superficial and deep CPBs [ 59 , 63 ], a single USG intermediate CPB [ 92 , 98 ], and combined USG intermediate CPB and paracarotid infiltration of local anesthetic [ 9 , 11 , 94 ]. However, according to Lyons and Mills [ 25 ], among 12 cadaveric neck dissections, the cervical sympathetic chain was found within the carotid sheath in 2 cadavers.…”

Section: Safety Issues Related To Cervical Plexus Blocksmentioning

confidence: 99%

Cervical plexus block

Kim

Bang

et al. 2018

Korean J Anesthesiol

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Cervical plexus blocks (CPBs) have been used in various head and neck surgeries to provide adequate anesthesia and/or analgesia; however, the block is performed in a narrow space in the region of the neck that contains many sensitive structures, multiple fascial layers, and complicated innervation. Since the intermediate CPB was introduced in addition to superficial and deep CPBs in 2004, there has been some confusion regarding the nomenclature and definition of CPBs, particularly the intermediate CPB. Additionally, as the role of ultrasound in the head and neck region has expanded, CPBs can be performed more safely and accurately under ultrasound guidance. In this review, the authors will describe the methods, including ultrasound-guided techniques, and clinical applications of conventional deep and superficial CPBs; in addition, the authors will discuss the controversial issues regarding intermediate CPBs, including nomenclature and associated potential adverse effects that may often be neglected, focusing on the anatomy of the cervical fascial layers and cervical plexus. Finally, the authors will attempt to refine the classification of CPB methods based on the target compartments, which can be easily identified under ultrasound guidance, with consideration of the effects of each method of CPB.

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Horner’s Syndrome after Superficial Cervical Plexus Block

Cited by 30 publications

References 7 publications

Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures

Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures

Ultrasound-guided bilateral superficial cervical plexus block for thyroid surgery: The effect of dexmedetomidine addition to bupivacaine-epinephrine

Cervical plexus block

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