Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy
Introduction. General anesthesia is frequently employed in neck surgery procedures. However, in patients at high risk for general anesthesia, regional anesthesia options, such as the superficial cervical plexus block, warrant careful consideration. Patients with mediastinal lymph node enlargement fa...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2023-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300083I.pdf |
| _version_ | 1827586721001242624 |
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| author | Ivošević Tjaša Ranković-Ničić Ljiljana Mirić Ljubiša Jotić Ana Bukurov Bojana |
| author_facet | Ivošević Tjaša Ranković-Ničić Ljiljana Mirić Ljubiša Jotić Ana Bukurov Bojana |
| author_sort | Ivošević Tjaša |
| collection | DOAJ |
| description | Introduction. General anesthesia is frequently employed in neck surgery procedures. However, in patients at high risk for general anesthesia, regional anesthesia options, such as the superficial cervical plexus block, warrant careful consideration. Patients with mediastinal lymph node enlargement face an elevated risk of airway obstruction and hemodynamic mediastinal instability during anesthesia induction. In selected neck surgeries, including thyroglossal cyst excision, thyroglossal fistula repair, bronchial cyst removal, thyroidectomy, and lymph node excision, the superficial cervical plexus block presents a viable and secure alternative to general anesthesia. Case report. This report details the case of a patient with mediastinal lymphadenopathy and multiple brain metastases who underwent cervical lymph node excision. Given the patient’s severe comorbidities, pronounced risk of complete distal airway obstruction, hemodynamic instability, and the potential for compression effects from mediastinal mass, a superficial cervical block was administered. This block facilitated effective perioperative analgesia without inducing respiratory or cardiovascular instability. Conclusion. The superficial cervical plexus block emerges as a prudent alternative to general anesthesia in high-risk patients requiring cervical lymph node excision procedures. Its utilization should be considered in such cases to enhance patient safety and perioperative management. |
| first_indexed | 2024-03-09T00:06:52Z |
| format | Article |
| id | doaj.art-11a6fb197f81429480844ed478f315c9 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 2406-0895 |
| language | English |
| last_indexed | 2024-03-09T00:06:52Z |
| publishDate | 2023-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-11a6fb197f81429480844ed478f315c92023-12-12T13:09:04ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952023-01-011519-1060560810.2298/SARH230218083I0370-81792300083ICervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathyIvošević Tjaša0https://orcid.org/0000-0002-4964-6916Ranković-Ničić Ljiljana1https://orcid.org/0009-0003-5987-479XMirić Ljubiša2Jotić Ana3https://orcid.org/0000-0001-9862-592XBukurov Bojana4https://orcid.org/0000-0001-7214-7261University of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Centre of Serbia, Centre for Anesthesiology and Resuscitation, Belgrade, SerbiaDedinje Institute for Cardiovascular Diseases, Belgrade, SerbiaKruševac General Hospital, Department of Anesthesiology and Intensive Medicine, Kruševac, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Centre of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Centre of Serbia, Clinic for Otorhinolaryngology and Maxillofacial Surgery, Belgrade, SerbiaIntroduction. General anesthesia is frequently employed in neck surgery procedures. However, in patients at high risk for general anesthesia, regional anesthesia options, such as the superficial cervical plexus block, warrant careful consideration. Patients with mediastinal lymph node enlargement face an elevated risk of airway obstruction and hemodynamic mediastinal instability during anesthesia induction. In selected neck surgeries, including thyroglossal cyst excision, thyroglossal fistula repair, bronchial cyst removal, thyroidectomy, and lymph node excision, the superficial cervical plexus block presents a viable and secure alternative to general anesthesia. Case report. This report details the case of a patient with mediastinal lymphadenopathy and multiple brain metastases who underwent cervical lymph node excision. Given the patient’s severe comorbidities, pronounced risk of complete distal airway obstruction, hemodynamic instability, and the potential for compression effects from mediastinal mass, a superficial cervical block was administered. This block facilitated effective perioperative analgesia without inducing respiratory or cardiovascular instability. Conclusion. The superficial cervical plexus block emerges as a prudent alternative to general anesthesia in high-risk patients requiring cervical lymph node excision procedures. Its utilization should be considered in such cases to enhance patient safety and perioperative management.https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300083I.pdfcervical plexusexcision lymph nodeairway obstructionanesthesiaanalgesia |
| spellingShingle | Ivošević Tjaša Ranković-Ničić Ljiljana Mirić Ljubiša Jotić Ana Bukurov Bojana Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy Srpski Arhiv za Celokupno Lekarstvo cervical plexus excision lymph node airway obstruction anesthesia analgesia |
| title | Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| title_full | Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| title_fullStr | Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| title_full_unstemmed | Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| title_short | Cervical plexus block - safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| title_sort | cervical plexus block safe anesthesia for the patients with massive mediastinal lymphadenopathy |
| topic | cervical plexus excision lymph node airway obstruction anesthesia analgesia |
| url | https://doiserbia.nb.rs/img/doi/0370-8179/2023/0370-81792300083I.pdf |
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