Superficial Cervical Plexus Block - a 'How-To' Guide

A how-to guide on performing an ultrasound-guided superficial cervical plexus nerve block (also called an intermediate cervical plexus block by some). This is safe, simple and effective for analgesia of the anterolateral neck. Bilateral blocks should be performed where the site of pain is close to the midline.
A more selective block of the lower branches- the supraclavicular nerves – is also described. This latter technique can be used as a sole technique for analgesia of the clavicle, and is also easily integrated into an interscalene or superior trunk block to provide more complete anesthesia in shoulder and clavicular surgery.
The superficial subcutaneous location of the target lends itself to the use of a 25G hypodermic needle or a regular 22G block needle, at the discretion of the practitioner. 10ml of a long-acting local anesthetic (e.g. bupivacaine or ropivacaine) is a sufficient volume in adults.
Disclaimer: This video is for informational and educational purposes only. It is not a substitute for professional medical advice, or consultation with a health care professional.

00:00 – Intro
00:09 – Indications
00:37 – Anatomy
01:25 – Technique
02:16 – Supraclavicular nerves

[BTN]

What is the incidence of phrenic involvement with the combination of superior trunk and superficial cervical plexus block? I’d be hesitant to perform a bilateral block at this level.

[ranjithkumar-rmzw]

Sir superficial vs intermediate cervical plexus block difference