Recent advance in ultrasound-guided cervical plexus block in carotid endarterectomy
10.3760/cma.j.cn115354-20200408-00256
- VernacularTitle:超声引导下颈丛神经阻滞在颈动脉内膜斑块切除术中的应用进展
- Author:
Wenhong TANG
1
;
Xiaojun DENG
;
Lianjuan SUN
;
Shaoming WANG
;
Changfeng CHAI
;
Xiaoming DENG
Author Information
1. 解放军第九六〇医院麻醉科，济南 250031
- Keywords:
Carotid endarterectomy;
Cervical plexus block;
Ultrasound;
General anesthesia
- From:
Chinese Journal of Neuromedicine
2020;19(8):859-862
- CountryChina
- Language:Chinese
-
Abstract:
Carotid endarterectomy (CEA) is one of the methods to prevent stroke in patients with atherosclerotic carotid stenosis. Under cervical plexus block, the consciousness of patients can be evaluated to determine whether shunt is needed during the clamp period of carotid artery. Traditional nerve block adopts blind technique according to anatomical landmark. Ultrasound-guided nerve block can identify accurate location of puncture site, improve anesthesia effect and minimize the potential risk of block-related complications. To provide guidance for clinical application, this article reviews the status quo of carotid endarterectomy, anesthesia methods and ultrasound-guided cervical plexus block.
