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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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Chapter 25 – Cervical Plexus Block

PERSPECTIVE

Cervical plexus blocks can be utilized to carry out both superficial and deep operations in the region of the neck and supraclavicular fossa. The choice of deep or superficial block requires consideration of the surgical procedure.

Patient Selection.

This block can be performed easily in a supine patient; thus, almost any patient is a candidate. Bilateral deep cervical plexus block should be avoided because the phrenic nerve may be partially blocked with this technique. Examples of procedures that are suitable for this technique are carotid endarterectomy, lymph node biopsy, and plastic surgical procedures.

Pharmacologic Choice.

Most procedures that are carried out with cervical plexus block do not demand significant motor relaxation. Thus, lower concentrations of local anesthetics, such as 0.75% to 1% lidocaine or mepivacaine, 0.25% bupivacaine, or 0.2% ropivacaine are appropriate with these techniques.

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