Cervical Plexus Block Comparison
Conditions
Keywords
Ultrasound, Cervical Plexus, Anesthesia, Conduction, Surgical Procedures, Elective, Atherectomy
Brief summary
The purpose of the study is to compare efficacy, complications and safety of the standard method of Combined (superficial and deep) cervical plexus block (SDCPB) with Ultrasound guided Medial Cervical plexus block technique (MCPB). Hypothesis: Ultrasound assisted MCPB is safer than SDCPB with similar efficacy.
Interventions
PROCEDUREcervical block
In brief, the superficial block was performed using a 22G needle (07 x 40 mm). The mixture injected was 15 ml of 0.5% bupivacaine + 10 ml of 1% lidocaine. Deep cervical plexus block was performed using a Stimuplex DR stimulating needle and the dose of anaesthetic used was 10 ml 0.5% bupivacaine + 5 ml 1% lidocaine applied in the vicinity of the C3 nerve root. The MCPB performed using ultrasound-guidance aiming specifically for the interfascia space. Eighteen ml of 0.375% bupivacaine was injected into the interfascia space at the level of C3 vertebral body using a 22G needle (07 x 40 mm).
Sponsors
Daniel Nalos MD
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
30 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing Elective Carotid Endarterectomy
Exclusion criteria
* Denied consent to block performance, Emergency procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of additional applications of short-acting local anaesthetic | intraoperatively | The number of times a surgeon would have to supplement the Regional Block with intrafield application of increments of short-acting local anaesthetic |
| patient satisfaction | 24 h after operation | — |
| Complications | perioperative | — |
Countries
Czechia
Outcome results
None listed