EXPERIENCE OF CLINICAL USE OF ULTRASOUND GUIDANCE FOR CERVICAL PLEXUS BLOCK IN RECONSTRUCTIVE CAROTID SURGERY
https://doi.org/10.21292/2078-5658-2019-16-1-35-41
Abstract
The surface block of cervical plexus in combination with general anesthesia provides nociceptive protection at all stages of the surgery. However, its use is associated with the risk of puncture of large vessels of the neck and resulting complications: unintentional intravascular administration of a local anesthetic and formation of a hematoma.
The objective: to demonstrate the advantages and effectiveness of superficial cervical plexus block with the use of ultrasound guidance in carotid surgery.
Subjects and methods. The method of inplane ultrasound-guided single-insertion was used. The superficial cervical plexus block was performed under ultrasound guidance (Fujifilm Sonosite Edge Inc. – US) with a linear sensor (Sonosite HFL38 13-6MHz).
Results. The superficial cervical plexus block with ultrasound guidance allowed choosing the most appropriate area for the administration of local anesthetic, visualizing the movement of the puncture needle in the neck structures and minimizing the risks of damage to large vessels and nerves, excluding the possibility of intravascular injection of a local anesthetic.
About the Authors
V. M. Kraynik
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician,
2, Abrikosovsky Lane, Moscow, 119991
D. I. Novikov
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Post-Graduate Student,
2, Abrikosovsky Lane, Moscow, 119991
A. Yu. Zaytsev
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Doctor of Medical Sciences, Chief Researcher,
2, Abrikosovsky Lane, Moscow, 119991
S. P. Kozlov
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Doctor of Medical Sciences, Head of Anesthesiology and Intensive Care Unit no. I,
2, Abrikosovsky Lane, Moscow, 119991
Yu. V. Deshko
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Candidate of Medical Sciences, Anesthesiologist and Emergency Physician,
2, Abrikosovsky Lane, Moscow, 119991
A. V. Gavrilenko
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Academician of RAS, Head of Vascular Surgery Department,
2, Abrikosovsky Lane, Moscow, 119991
A. V. Kuklin
Russian Surgery Research Center named after B.V. Petrovsky
Russian Federation
Russian Federation
Chief Researcher of Vascular Surgery Department,
2, Abrikosovsky Lane, Moscow, 119991
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Review
For citations:
Kraynik V.M., Novikov D.I., Zaytsev A.Yu., Kozlov S.P., Deshko Yu.V., Gavrilenko A.V., Kuklin A.V. EXPERIENCE OF CLINICAL USE OF ULTRASOUND GUIDANCE FOR CERVICAL PLEXUS BLOCK IN RECONSTRUCTIVE CAROTID SURGERY. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(1):35-41. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-1-35-41
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