Good case, but for 100% pain control of The clavicle and for Internal fixation and open reduction an interscalene is needed as well. This combination of blocks permits surgery without general anesthesia. Saludos!
You definitely can do bilateral SUPERFICIAL cervical plexus block. As long as it's really superficial and not interscalene/deep cervical block where your chances of phrenic nerve block are pretty much 100%
No, it's way deeper. There is a difference between interscalene block where you block the phrenic 100% of the time and SUPERFICIAL (not DEEP) cervical plexus which is just below the SCM muscle.
Great video for an anesthesia resident like me!
Thank you very much.
Good case, but for 100% pain control of The clavicle and for Internal fixation and open reduction an interscalene is needed as well.
This combination of blocks permits surgery without general anesthesia.
Saludos!
is there a indication for surgery of the thyroid,?
can be perfect analgesia if will be performed biletareal cerv.pl.block but its impossible because n.phrenicus paralisys :))
You definitely can do bilateral SUPERFICIAL cervical plexus block. As long as it's really superficial and not interscalene/deep cervical block where your chances of phrenic nerve block are pretty much 100%
The phrenic nerve lies pretty close to the superficial cervical plexus, hence its bound to get paralysed on that side ,100 out of 100..
I do this block frequently..Thankfully never had phrenic nerve palsy
@@rajeshpattanayak9667 Clinicamente, subclinicamente no sabemos.
No, it's way deeper. There is a difference between interscalene block where you block the phrenic 100% of the time and SUPERFICIAL (not DEEP) cervical plexus which is just below the SCM muscle.
thank u