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Alekseev A.A.

Sechenov First Moscow State Medical University (Sechenov University)

Yavorovskiy A.G.

Sechenov First Moscow State Medical University (Sechenov University)

Sharobaro V.I.

Sechenov First Moscow State Medical University (Sechenov University)

Dospekhov D.V.

Hospital for War Veterans No. 2

Useinov A.V.

Sechenov First Moscow State Medical University (Sechenov University)

Avdeev A.E.

Sechenov First Moscow State Medical University (Sechenov University)

Borisenko A.S.

Sechenov First Moscow State Medical University (Sechenov University)

Ivanov Yu.V.

Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies

Bilateral cervical plexus anesthesia in anterior neck surgery

Authors:

Alekseev A.A., Yavorovskiy A.G., Sharobaro V.I., Dospekhov D.V., Useinov A.V., Avdeev A.E., Borisenko A.S., Ivanov Yu.V.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2025;(1): 39‑43

DOI: 10.17116/plast.hirurgia202501139

Read: 843 times

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Table of contents

BILATERAL CERVICAL PLEXUS ANESTHESIA IN ANTERIOR NECK SURGERY
BILATERAL CERVICAL PLEXUS ANESTHESIA IN ANTERIOR NECK SURGERY

To cite this article:

Alekseev AA, Yavorovskiy AG, Sharobaro VI, et al. . Bilateral cervical plexus anesthesia in anterior neck surgery. Plastic Surgery and Aesthetic Medicine. 2025;(1):39‑43. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202501139

Подписка 2026 Пластическая хирургия и эстетическая медицина (Plastic Surgery and Aesthetic Medicine)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the effectiveness of bilateral cervical plexus block.

MATERIAL AND METHODS

A two-stage single-center prospective study was conducted. In the first (morphological) stage, 21 blocks were performed on 11 cadavers. We assessed diffusion of anesthetic into anterolateral space of the neck on both sides and involvement of n. vagus, n. phrenicus, tr. sympathicus. Clinical study involved 60 patients who underwent transverse neck incision in the lower third for thyroidectomy, hemithyroidectomy and parathyroidectomy. Patients were divided into two equal groups: group 1 — bilateral cervical plexus block under ultrasound navigation combined with general anesthesia; group 2 — only general anesthesia. Clinical, biochemical and laboratory data were assessed.

RESULTS AND CONCLUSION

Intermediate cervical plexus blockade under ultrasound navigation using “Articaine-Binergia” solution with adrenaline 20 mg/ml + 0.005 mg/ml from 5 ml to 10 ml is safe and can be performed bilaterally. There are significant advantages of this blockade over general anesthesia.

Keywords:

bilateral cervical plexus blockade
neck anesthesia

Authors:

Alekseev A.A.

Sechenov First Moscow State Medical University (Sechenov University)

Yavorovskiy A.G.

Sechenov First Moscow State Medical University (Sechenov University)

Sharobaro V.I.

Sechenov First Moscow State Medical University (Sechenov University)

Dospekhov D.V.

Hospital for War Veterans No. 2

Useinov A.V.

Sechenov First Moscow State Medical University (Sechenov University)

Avdeev A.E.

Sechenov First Moscow State Medical University (Sechenov University)

Borisenko A.S.

Sechenov First Moscow State Medical University (Sechenov University)

Ivanov Yu.V.

Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies

Received:

22.05.2024

Accepted:

15.07.2024

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References:

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