ОПЫТ КЛИНИЧЕСКОГО ПРИМЕНЕНИЯ УЛЬТРАЗВУКОВОЙ НАВИГАЦИИ ДЛЯ ВЫПОЛНЕНИЯ БЛОКАДЫ ШЕЙНОГО СПЛЕТЕНИЯ В РЕКОНСТРУКТИВНОЙ ХИРУРГИИ СОННЫХ АРТЕРИЙ

Abstract

The surface block of cervical plexus in combination with general anesthesia provides nociceptive protection at all stages of the surgery. However, its use is associated with the risk of puncture of large vessels of the neck and resulting complications: unintentional intravascular administration of a local anesthetic and formation of a hematoma. The objective : to demonstrate the advantages and effectiveness of superficial cervical plexus block with the use of ultrasound guidance in carotid surgery. Subjects and methods . The method of inplane ultrasound-guided single-insertion was used. The superficial cervical plexus block was performed under ultrasound guidance (Fujifilm Sonosite Edge Inc. – US) with a linear sensor (Sonosite HFL38 13-6MHz). Results . The superficial cervical plexus block with ultrasound guidance allowed choosing the most appropriate area for the administration of local anesthetic, visualizing the movement of the puncture needle in the neck structures and minimizing the risks of damage to large vessels and nerves, excluding the possibility of intravascular injection of a local anesthetic.