Nerve Block Gallery - Superficial Cervical Plexus Block
Caption
The superficial cervical plexus block pictured above was utilized in an elderly awake patient with dementia for the placement of an IJ CVC. Other indications include I&Ds of submandibular abscesses, lac repair to the ear lobe, and clavicular fractures. The block is best performed in-plane so as to directly visualize the dissection of the plane between the Sternocleidomastoid muscle (visualized superiorly) and the scalene muscles (visualized inferior to the needle insertion), and works by bathing several nerve branches at once. The area of anesthetic overlies the sternocleidomastoid muscle from the clavicle up to the preauricular space and oddly enough, includes the earlobe. Authored by Dr. Nicole Anthony and Dr. Kelly Maurelus, Kings County Medical Center