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The purpose of the study is to compare efficacy, complications and safety of the standard method of Combined (superficial and deep) cervical plexus block (SDCPB) with Ultrasound guided Medial Cervical plexus block technique (MCPB).
Hypothesis: Ultrasound assisted MCPB is safer than SDCPB with similar efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Combined Cervical Block | Active Comparator |
| |
| Median Cervical Block US guided | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cervical block | Procedure | In brief, the superficial block was performed using a 22G needle (07 x 40 mm). The mixture injected was 15 ml of 0.5% bupivacaine + 10 ml of 1% lidocaine. Deep cervical plexus block was performed using a Stimuplex DR stimulating needle and the dose of anaesthetic used was 10 ml 0.5% bupivacaine + 5 ml 1% lidocaine applied in the vicinity of the C3 nerve root. The MCPB performed using ultrasound-guidance aiming specifically for the interfascia space. Eighteen ml of 0.375% bupivacaine was injected into the interfascia space at the level of C3 vertebral body using a 22G needle (07 x 40 mm). |
| Measure | Description | Time Frame |
|---|---|---|
| number of additional applications of short-acting local anaesthetic | The number of times a surgeon would have to supplement the Regional Block with intrafield application of increments of short-acting local anaesthetic | intraoperatively |
| patient satisfaction | 24 h after operation | |
| Complications | perioperative |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Nalos, MUDr. | Masaryk Hospital | Study Chair |
| Jiřà Cihlář, Prof Ing | Purkynje University Ústà nad Labem | Principal Investigator |
| Luděk Vašátko, MUDr. | Masaryk Hospital | Principal Investigator |
| David Bejšovec, MUDr. | Masaryk Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Krajská zdravotnÃ, a.s. - Masarykova nemocnice v Ústà nad Labem, o.z. | Ústà nad Labem | 401 13 | Czechia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17576970 | Background | Pandit JJ, Satya-Krishna R, Gration P. Superficial or deep cervical plexus block for carotid endarterectomy: a systematic review of complications. Br J Anaesth. 2007 Aug;99(2):159-69. doi: 10.1093/bja/aem160. Epub 2007 Jun 18. | |
| 17621600 | Background | Hakl M, Michalek P, Sevcik P, Pavlikova J, Stern M. Regional anaesthesia for carotid endarterectomy: an audit over 10 years. Br J Anaesth. 2007 Sep;99(3):415-20. doi: 10.1093/bja/aem171. Epub 2007 Jul 9. |
| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D066008 | Cervical Plexus Block |
| ID | Term |
|---|---|
| D009407 | Nerve Block |
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| 21613278 | Background | Ramachandran SK, Picton P, Shanks A, Dorje P, Pandit JJ. Comparison of intermediate vs subcutaneous cervical plexus block for carotid endarterectomy. Br J Anaesth. 2011 Aug;107(2):157-63. doi: 10.1093/bja/aer118. Epub 2011 May 24. |
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