Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Mattias Casutt
Institute of Anesthesiology and Intensive Care, Kantonsspital Lucerne Spitalstrasse,
CH-6000 Lucerne 16
Switzerland
Research Article
Intermediate Cervical Plexus Block for Carotid Endarterectomy: A Case Series of the Spread of Injectate
Author(s): Mattias Casutt, Kathrin Job, Jonas Beutler, Jan Duwe, Patrick Veit and Christoph KonradMattias Casutt, Kathrin Job, Jonas Beutler, Jan Duwe, Patrick Veit and Christoph Konrad
Background: The case series illustrates the spread of local anesthetic resulting from a standardized singleinjection technique of intermediate cervical plexus block before carotid endarterectomy.
Methods: 14 consecutive patients scheduled for elective carotid endarterectomy were included. Standardized intermediate cervical plexus block was performed on the level of C5/C6 at the posterior border of the sternocleidomastoid muscle. A mixture of 20ml Ropivacaine 0.75%, 20ml Prilocaine 1% and 8ml Iopromidum (iodine-concentration 300mg/ml) was injected. The direction of the injection was defined as cranial, medial and caudal behind the sternocleidomastoid muscle in a depth of 1-1.5cm. Subsequently, after 30minutes, a CT-scan of the head and neck region and upper thorax was completed to evaluate the distribution of the injectate in a threedimension.. View More»
DOI:
10.4172/2155-6148.1000123