Fascial plane block of superficial CPB, which results in somatic anesthesia to cervical region extending from periauricular areas and skin inferior to clavicle on chest wall
Sensory branches of C2, C3, and C4 travel between investing layer of deep cervical fascia and prevertebral fascia, know as posterior cervical space (PCS), typically at C4 level
ICPB refers to utilization of ultrasound to access this space
Superficial CPB refers to subcutaneous injection of local anesthetic to target superficial branches of plexus
Duration of block is 4-6 hours
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Thawale R et al: Ultrasound-guided intermediate cervical plexus block with depot steroids in the management of refractory neck pain secondary to cervicothoracic myofascial pain syndrome: a case series. A A Pract. ePub, 2019
Kim JS et al: Cervical plexus block. Korean J Anesthesiol. 71(4):274-88, 2018
Sait Kavaklı A et al: Comparison of combined (deep and superficial) and intermediate cervical plexus block by use of ultrasound guidance for carotid endarterectomy. J Cardiothorac Vasc Anesth. 30(2):317-22, 2016
Calderon AL et al: Ultrasound-guided intermediate cervical plexus block for carotid endarterectomy using a new anterior approach: a two-centre prospective observational study. Anaesthesia. 70(4):445-51, 2015
Choquet O et al: Ultrasound-guided deep or intermediate cervical plexus block: the target should be the posterior cervical space. Anesth Analg. 111(6):1563-4; author reply 1564-5, 2010
Tran DQ et al: A randomized comparison between ultrasound-guided and landmark-based superficial cervical plexus block. Reg Anesth Pain Med. 35(6):539-43, 2010
Usui Y et al: An anatomical basis for blocking of the deep cervical plexus and cervical sympathetic tract using an ultrasound-guided technique. Anesth Analg. 110(3):964-8, 2010
Narouze S: Sonoanatomy of the cervical spinal nerve roots: implications for brachial plexus block. Reg Anesth Pain Med. 34(6):616, 2009
Nash L et al: Does the investing layer of the deep cervical fascia exist? Anesthesiology. 103(5):962-8, 2005
Telford RJ et al: Correct nomenclature of superficial cervical plexus blocks. Br J Anaesth. 92(5):775; author reply 775-6, 2004
Pandit JJ et al: Spread of injectate with superficial cervical plexus block in humans: an anatomical study. Br J Anaesth. 91(5):733-5, 2003
Castresana MR et al: Incidence and clinical significance of hemidiaphragmatic paresis in patients undergoing carotid endarterectomy during cervical plexus block anesthesia. J Neurosurg Anesthesiol. 6(1):21-3, 1994
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Post Procedure
Procedure
Outcomes
TERMINOLOGY
Abbreviations
Cervical plexus block (CPB)
Intermediate cervical plexus block (ICPB)
Sternocleidomastoid (SCM)
Anterior scalene muscle (ASM)
Middle scalene muscle (MSM)
Synonyms
Superficial CPB
Definitions
Fascial plane block of superficial CPB, which results in somatic anesthesia to cervical region extending from periauricular areas and skin inferior to clavicle on chest wall
Sensory branches of C2, C3, and C4 travel between investing layer of deep cervical fascia and prevertebral fascia, know as posterior cervical space (PCS), typically at C4 level
ICPB refers to utilization of ultrasound to access this space
Superficial CPB refers to subcutaneous injection of local anesthetic to target superficial branches of plexus
Duration of block is 4-6 hours
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Patient Position/Location
Equipment Preparation
Procedure Steps
Findings and Reporting
Alternative Procedures/Therapies
POST PROCEDURE
Expected Outcome
Things to Do
Things to Avoid
OUTCOMES
Problems
Complications
Selected References
Thawale R et al: Ultrasound-guided intermediate cervical plexus block with depot steroids in the management of refractory neck pain secondary to cervicothoracic myofascial pain syndrome: a case series. A A Pract. ePub, 2019
Kim JS et al: Cervical plexus block. Korean J Anesthesiol. 71(4):274-88, 2018
Sait Kavaklı A et al: Comparison of combined (deep and superficial) and intermediate cervical plexus block by use of ultrasound guidance for carotid endarterectomy. J Cardiothorac Vasc Anesth. 30(2):317-22, 2016
Calderon AL et al: Ultrasound-guided intermediate cervical plexus block for carotid endarterectomy using a new anterior approach: a two-centre prospective observational study. Anaesthesia. 70(4):445-51, 2015
Choquet O et al: Ultrasound-guided deep or intermediate cervical plexus block: the target should be the posterior cervical space. Anesth Analg. 111(6):1563-4; author reply 1564-5, 2010
Tran DQ et al: A randomized comparison between ultrasound-guided and landmark-based superficial cervical plexus block. Reg Anesth Pain Med. 35(6):539-43, 2010
Usui Y et al: An anatomical basis for blocking of the deep cervical plexus and cervical sympathetic tract using an ultrasound-guided technique. Anesth Analg. 110(3):964-8, 2010
Narouze S: Sonoanatomy of the cervical spinal nerve roots: implications for brachial plexus block. Reg Anesth Pain Med. 34(6):616, 2009