Abstract
The anterior branches of the four upper cervical spinal nerves (C1 to C4) form the cervical plexus, which is covered by the sternocleidomastoid muscle. The branches of the cervical plexus carry motor, sensory, proprioceptive, and autonomous fibers and divide into superficial cutaneous branches penetrating the cervical fascia and deeper muscular branches that mainly innervate the joints and muscles. The cutaneous branches of the cervical plexus are the lesser occipital nerve, great auricular nerve, transverse cervical (colli) nerve, and supraclavicular nerves. The muscular branches of the cervical plexus include segmentally arranged nerve branches supplying the deeper anterior neck muscles as well as the inferior descending cervical nerve, the trapezius branch, and the phrenic nerve. Ultrasound-guided block of superficial cervical plexus and landmark-guided injections of deep and superficial cervical plexus have been described.
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Aunac S, Carlier M, Singelyn F, De Kock M. the analgesic efficacy of bilateral combined superficial and deep cervical plexus block administered before thyroid surgery under general anesthesia. Anesth Analg. 2002;95:746–50.
Benzon HT, Raja SN, Borsook D, Molloy RE, Strichartz G. Essentials of pain medicine and regional anesthesia. Philadelphia: Churchill Livingstone; 1999.
Brull SJ. Superficial cervical plexus block for pulmonary artery catheter insertion. Crit Care Med. 1992;20:1362–3.
Davies MJ, Silbert BS, Scott DA, Cook RJ, Mooney PH, Blyth C. Superficial and deep cervical plexus block for carotid artery surgery: A prospective study of 1000 blocks. Reg. Anesthesia. 1997;22(5):442–6.
GALA Trial Collaborative Group. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet. 2008;372:2132–42.
Guay J. Regional anesthesia for carotid surgery. Curr Opin Anaesthesiol. 2008;21:638–44.
Harbaugh RE, Pikus HJ. Carotid endarterectomy with regional anesthesia. Neurosurgery. 2001;49:642–5.
Jankovic D. Deep and superficial plexus block. In: Jankovic, editor. Regional nerve blocks& infiltrattion therapy. Berlin: Blackwell Scientists; 2007. p. 129–36.
Johnson TR. Transient ischaemic attack during deep cervical plexus block.Br. J Anesth. 1999;83:965–7.
Mayhew D, Sahgal N, Khirwadar R, Hunter JM, Banerjee A. Analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery: meta-analysis and systematic review. BJA. 2018;120:241–51.
Papavasiliou AK, Magnadottir HB, Gonda T, et al. Clinical outcomes after carotid endarterectomy: Comparison of the use of regional and general anesthetics. J Neurosurg. 2000;92:291–6.
Sandeman DJ, Griffiths MJ, Lennox AF. Ultrasound guided deep cervical plexus block. Anaesth Intensive Care. 2006;34:240–4.
Soeding P, Eizenberg N. Review article: anatomical considerations for ultrasound guidance for regional anesthesia of the neck and upper limb. Can J Anaesth. 2009;56:518–33.
Stoneburner JM, Nishanian GP, Cukingnan RA, et al. Carotid endarterectomy using regional anesthesia: a benchmark for stenting. Am Surg. 2002;68:1120–3.
Stoneham MD, Knighton JD. Regional anaesthesia for carotid endarterectomy. Br J Anaesth. 1999;82:910–9.
Stoneham MD, Wakefield TW. Acute respiratory distress after deep cervical plexus block. J Cardiothorac Vasc Anesth. 1988;12:197–8.
Tran DQ, Dugani S, Finlayson RJ. A randomized comparison between ultrasound-guided and landmark-based superficial cervical plexus block. Reg Anesth Pain Med. 2010;35(6):539–43.
Usui Y, Kobayashi T, Kakinuma H, et al. An anatomical basis for blocking of the deep cervical plexus and cervical sympathetic tract using an ultrasound-guided technique. Anesth Analg. 2010;110:964–8.
Vaniyapong T, Chongruksut W, Rerkasem K. Local versus general anaesthesia for carotid endarterectomy. Cochrane Database Syst Rev. 2013;19:12.
Weiss A, Isselhorst C, Gahlen J, et al. Acute respiratory failure after deep cervical plexus block for carotid endarterectomy as a result of bilateral recurrent laryngeal nerve paralysis. Acta Anaesthesool scand. 2005;49:715–9.
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Jankovic, D., Peng, P. (2022). Cervical Plexus Block. In: Jankovic, D., Peng, P. (eds) Regional Nerve Blocks in Anesthesia and Pain Therapy. Springer, Cham. https://doi.org/10.1007/978-3-030-88727-8_13
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DOI: https://doi.org/10.1007/978-3-030-88727-8_13
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