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Ultrasound Technique for Common Head and Neck Blocks

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Ultrasound Fundamentals

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Abstract

Head and neck blocks are clinically important procedures that regional anesthesiologists and pain physicians should be comfortable performing. The advent of ultrasound has optimized these blocks by providing the users with the ability to identify structures and anatomic relationships that are not apparent with landmark and stimulator-based block techniques. Ultrasound also provides the added benefit of fine needle adjustments that cannot be seen with fluoroscopic guidance. We describe the relevant anatomy, sonographic findings, and procedural techniques for some common head and neck blocks.

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References

  1. Suresh S, Voronov P. Head and neck blocks in infants, children, and adolescents. Paediatr Anaesth. 2012;22(1):81–7.

    Article  Google Scholar 

  2. Herlich A. Focused local anesthesia and analgesia for head and neck surgery. Int Anesthesiol Clin. 2012;50(1):13–25.

    Article  Google Scholar 

  3. Nader A, Kendall MC, De Oliveria GS, et al. Ultrasound-guided trigeminal nerve block via the pterygopalatine fossa: an effective treatment for trigeminal neuralgia and atypical facial pain. Pain Physician. 2013;16(5):E537–45.

    PubMed  Google Scholar 

  4. Zheng JP, Song M, Zhan XX, Li CZ, Zong XY, Zhang YZ. Endoscopic approach to the trigeminal nerve: an anatomic study. J Craniomaxillofac Surg. 2014;42(5):674–82.

    Article  Google Scholar 

  5. Bathla G, Hegde AN. The trigeminal nerve: an illustrated review of its imaging anatomy and pathology. Clin Radiol. 2013;68(2):203–13.

    Article  CAS  Google Scholar 

  6. Kariya K, Usui Y, Higashi N, et al. Anatomical basis for simultaneous block of greater and third occipital nerves, with an ultrasound-guided technique. J Anesth. 2018;32(4):483–92.

    Article  Google Scholar 

  7. Arai T, Ishikawa K, Saito T, Hashimoto Y, Asai T, Okuda Y. Distance from the external occipital protuberance to the occipital artery for occipital nerve block. J Anesth. 2013;27(5):801–2.

    Article  Google Scholar 

  8. Okuda Y, Ishikawa K, Usui Y, Nagao M, Ikeda T, Kitajima T. Use of an ultrasound doppler flowmeter for occipital nerve block. Reg Anesth Pain Med. 2002;27:444–5.

    Article  Google Scholar 

  9. Greher M, Moriggl B, Curatolo M, Kirchmair L, Eichenberger U. Sonographic visualization and ultrasound-guided blockade of the greater occipital nerve: a comparison of two selective techniques confirmed by anatomical dissection. Br J Anaesth. 2010;104(5):637–42.

    Article  CAS  Google Scholar 

  10. Juskys R, Sustickas G. Effectiveness of treatment of occipital neuralgia using the nerve block technique: a prospective analysis of 44 patients. Acta Med Litu. 2018;25(2):53–60.

    Article  Google Scholar 

  11. Khavanin N, Carl HM, Yang R, Dorafshar AH. Surgical "safe zone": rapid anatomical identification of the lesser occipital nerve. J Reconstr Microsurg. 2019;35(5):341–5.

    Article  Google Scholar 

  12. Tubbs RS, Fries FN, Kulwin C, Mortazavi MM, Loukas M, Cohen-Gadol AA. Modified skin incision for avoiding the lesser occipital nerve and occipital artery during retrosigmoid craniotomy: potential applications for enhancing operative working distance and angles while minimizing the risk of postoperative neuralgias and intraoperative hemorrhage. J Clin Neurosci. 2016;32:83–7.

    Article  Google Scholar 

  13. Platzgummer H, Moritz T, Gruber GM, et al. The lesser occipital nerve visualized by high-resolution sonography--normal and initial suspect findings. Cephalalgia. 2015;35(9):816–24.

    Article  Google Scholar 

  14. Kim JS, Ko JS, Bang S, Kim H, Lee SY. Cervical plexus block. Korean J Anesthesiol. 2018;71(4):274–88.

    Article  Google Scholar 

  15. Castresana MR, Masters RD, Castresana EJ, Stefansson S, Shaker IJ, Newman WH. Incidence and clinical significance of hemidiaphragmatic paresis in patients undergoing carotid endarterectomy during cervical plexus block anesthesia. J Neurosurg Anesthesiol. 1994;6(1):21–3.

    Article  CAS  Google Scholar 

  16. Martusevicius R, Swiatek F, Joergensen LG, Nielsen HB. Ultrasound-guided locoregional anaesthesia for carotid endarterectomy: a prospective observational study. Eur J Vasc Endovasc Surg. 2012;44(1):27–30.

    Article  CAS  Google Scholar 

  17. Elmaddawy AEA, Mazy AE. Ultrasound-guided bilateral superficial cervical plexus block for thyroid surgery: the effect of dexmedetomidine addition to bupivacaine-epinephrine. Saudi J Anaesth. 2018;12(3):412–8.

    Article  Google Scholar 

  18. Singh SK. The cervical plexus: anatomy and ultrasound guided blocks. Anaesth Pain Intens Care. 2015;19(3).

    Google Scholar 

  19. Sait Kavakli A, Kavrut Ozturk N, Umut Ayoglu R, et al. Comparison of combined (deep and superficial) and intermediate cervical plexus block by use of ultrasound guidance for carotid endarterectomy. J Cardiothorac Vasc Anesth. 2016;30(2):317–22.

    Article  Google Scholar 

  20. Koshy RC, Thankamony H. Superficial cervical plexus block for urgent tracheostomy. Indian J Anaesth. 2019;63(1):65–6.

    Article  Google Scholar 

  21. Soeding P, Eizenberg N. Review article: anatomical considerations for ultrasound guidance for regional anesthesia of the neck and upper limb. Can J Anaesth. 2009;56(7):518–33.

    Article  Google Scholar 

  22. Raju PKB, Coventry DM. Ultrasound-guided brachial plexus blocks. Continuing Education in Anaesthesia, Critical Care & Pain. 2013;14(4):185–91.

    Article  Google Scholar 

  23. Demondion X, Herbinet P, Boutry N, Fontaine C, Francke JP, Cotten A. Sonographic mapping of the normal brachial plexus. AJNR Am J Neuroradiol. 2003;24(7):1303–9.

    PubMed  Google Scholar 

  24. Gervasio A, Mujahed I, Biasio A, Alessi S. Ultrasound anatomy of the neck: the infrahyoid region. J Ultrasound. 2010;13(3):85–9.

    Article  CAS  Google Scholar 

  25. Zisquit J, Nedeff N. Interscalene Block. In: StatPearls [internet]: StatPearls Publishing; 2018.

    Google Scholar 

  26. Hussain N, Goldar G, Ragina N, Banfield L, Laffey JG, Abdallah FW. Suprascapular and Interscalene nerve block for shoulder surgery: a systematic review and meta-analysis. Anesthesiology. 2017;127(6):998–1013.

    Article  Google Scholar 

  27. Guo CW, Ma JX, Ma XL, et al. Supraclavicular block versus interscalene brachial plexus block for shoulder surgery: a meta-analysis of clinical control trials. Int J Surg. 2017;45:85–91.

    Article  CAS  Google Scholar 

  28. Piraccini E, Chang K-V. Stellate ganglion blocks. In: StatPearls [internet]: StatPearls Publishing; 2018.

    Google Scholar 

  29. Serna-Gutiérrez J. Ultrasound-guided stellate ganglion block. Revista Colombiana de Anestesiología. 2015;43(4):278–82.

    Google Scholar 

  30. Narouze S, Vydyanathan A, Patel N. Ultrasound-guided stellate ganglion block successfully prevented esophageal puncture. Pain Physician. 2007;10(6):747–52.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Avijit Sharma, Praba Boominathan & Robert Ming-Der Chow

Authors
  1. Avijit Sharma
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  2. Praba Boominathan
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  3. Robert Ming-Der Chow
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Corresponding author

Correspondence to Robert Ming-Der Chow .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Jinlei Li

  2. Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA

    Robert Ming-Der Chow

  3. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Nalini Vadivelu

  4. Department of Anesthesiology and Pharmacology, Toxicology and Neurosciences LSU Health Shreveport, Shreveport, LA, USA

    Alan David Kaye

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Sharma, A., Boominathan, P., Ming-Der Chow, R. (2021). Ultrasound Technique for Common Head and Neck Blocks. In: Li, J., Ming-Der Chow, R., Vadivelu, N., Kaye, A.D. (eds) Ultrasound Fundamentals . Springer, Cham. https://doi.org/10.1007/978-3-030-46839-2_8

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  • DOI: https://doi.org/10.1007/978-3-030-46839-2_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46838-5

  • Online ISBN: 978-3-030-46839-2

  • eBook Packages: MedicineMedicine (R0)

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