Cervical plexus block in adolescents.
In adults, peripheral nerve block provides an effective alternative to general anesthesia. In pediatric anesthesia practice, several factors may limit the use of such techniques. I present two adolescents in whom anatomical alterations precluded routine airway management. Cervical plexus block was used to provide surgical anesthesia for superficial/deep lymph node biopsy and excision of a thyroid nodule. The technique for cervical plexus block and its possible application in the practice of pediatric anesthesia are reviewed.
Tobias
J D
JD
Department of Child Health, University of Missouri, Columbia 65212, USA. Joseph-Tobias@muccmail.missouri.edu
D000293:Adolescent; D000768:Anesthesia, General; D000779:Anesthetics, Local / Q000008:administration & dosage; D001706:Biopsy; D002572:Cervical Plexus; D002648:Child; D016292:Procedural Sedation; D000075202:Contraindications; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007442:Intubation, Intratracheal; D008012:Lidocaine / Q000008:administration & dosage; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008844:Micrognathism / Q000150:complications; D009407:Nerve Block / Q000379:methods*; D015742:Propofol / Q000008:administration & dosage; D016606:Thyroid Nodule / Q000601:surgery
D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008012:Lidocaine; D015742:Propofol