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Superficial and deep cervical plexus block: technical considerations

R D Masters, E J Castresana, M R Castresana

    AANA Journal
    |June 1, 1995
    PubMed
    Summary
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    Cervical plexus blocks offer a safe anesthetic alternative for neck and head surgeries. Both superficial and deep blocks provide effective pain management with minimal side effects, increasing their popularity.

    Area of Science:

    • Anesthesiology
    • Regional Anesthesia
    • Surgical Procedures

    Background:

    • Cervical plexus block is an alternative to general anesthesia for specific surgical sites.
    • Superficial block targets sensory nerves; deep block targets both sensory and motor nerves.
    • Deep cervical plexus blocks are associated with minor, transient side effects.

    Purpose of the Study:

    • To review the safety and utility of cervical plexus blocks.
    • To highlight the growing interest and applications of this anesthetic technique.
    • To emphasize the importance of understanding cervical plexus anatomy for effective application.

    Main Methods:

    • Review of regional anesthetic techniques for cervical plexus block.
    • Discussion of superficial versus deep cervical plexus block.

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  • Analysis of clinical applications and patient outcomes.

    • Main Results:

    • Cervical plexus block is a safe and effective anesthetic option for neck, upper shoulder, and occipital scalp surgery.
    • Superficial block allows isolated sensory blockade, while deep block provides both sensory and motor blockade.
    • Deep blocks have minor, transient side effects that are rarely consequential.

    Conclusions:

    • Cervical plexus block is a valuable anesthetic option for clinicians.
    • Increased popularity for procedures like carotid endarterectomy.
    • Understanding anatomy is key to successful implementation.