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2026, Number 3

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Rev Mex Anest 2026; 49 (3)

Bilateral ultrasound-guided superficial cervical plexus block in conventional bilateral parathyroidectomy: a case report

Becerra-González AL, De LK
Full text How to cite this article 10.35366/123596

DOI

DOI: 10.35366/123596
URL: https://dx.doi.org/10.35366/123596

Language: Spanish
References: 10
Page: 193-196
PDF size: 2171.24 Kb.


Key words:

ultrasound-guided regional anesthesia, superficial cervical plexus block, parathyroidectomy, sedation, postoperative pain.

ABSTRACT

The ultrasound-guided superficial cervical plexus block allows visualization of the relevant anatomical structures of the neck and assessment of the proper distribution of the local anesthetic. It is indicated for superficial neck surgeries and represents an effective alternative for anesthetic and analgesic management, reducing opioid use and their associated adverse effects. We report the case of a 32-year-old female patient with hyperparathyroidism secondary to chronic kidney disease, scheduled for conventional bilateral parathyroidectomy. A bilateral ultrasound-guided superficial cervical plexus block was performed using ropivacaine and lidocaine (total volume 20 mL) combined with intravenous sedation with a continuous infusion of propofol and midazolam, without complications. Adequate intraoperative and postoperative analgesic control was achieved during the first 24 hours.


REFERENCES

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  2. Koshy C, Thankamony A. Superficial cervical plexus block for urgent tracheostomy. Indian J Anaesth. 2019;63:65-66.

  3. Opperer M, Kaufmann R, Meissnitzer M, Enzmann FK, Dinges C, Hitz J, et al. Depth of cervical plexus block and phrenic nerve blockade: a randomized trial. Reg Anesth Pain Med. 2022;47:1-7.

  4. Pintaric TS, Hocevar M, Jereb S, Casati A, Novak JV. A prospective, randomized comparison between combined (deep and superficial) and superficial cervical plexus block with levobupivacaine for minimally invasive parathyroidectomy. Anesth Analg. 2007;105:1160-1163, table of contents.

  5. Mulcahy MJ, Elalingam T, Jang K, D'Souza M, Tait M. Bilateral cervical plexus block for anterior cervical spine surgery: study protocol for a randomised placebo-controlled trial. Trials. 2021;22:424.

  6. Senapathi GA. Ultrasound-guided bilateral superficial cervical plexus block is more effective than landmark technique for reducing pain from thyroidectomy. J Pain Res. 2017;10:1619-1622.

  7. Woldegerima B, Hailekiros G, Fitiwi L. The analgesic efficacy of bilateral superficial cervical plexus block for thyroid surgery under general anesthesia: a prospective cohort study. BMC Res Notes. 2020;13:1-6.

  8. Karakis A, Tapar H, Ozsoy Z, Suren M, Dogru S, Karaman T, et al. Eficácia analgésica perioperatória do bloqueio bilateral do plexo cervical superficial em pacientes submetidos à tireoidectomia: estudo clínico randomizado [Perioperative analgesic efficacy of bilateral superficial cervical plexus block in patients undergoing thyroidectomy: a randomized controlled trial]. Braz J Anesthesiol. 2019;69:455-460.

  9. Eced SM, Alonso FM, Pérez G, Cebrián MA, Martínez V, Goldaraz C. Bloqueo del plexo cervical superficial para cirugía de resección de glándula paratiroides en régimen ambulatorio. Rev Elect Anestesiar. 2018;19:1.

  10. Moussa A. Bilateral superficial cervical plexus block alone or combined with bilateral deep cervical plexus block for pain management after thyroid surgery. Alexandria J Anaesth Intensive Care. 2006;9:45-50.




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Rev Mex Anest. 2026;49