64413 Injection, anesthetic agent; cervical plexus

Name of the Procedure:

Injection, Anesthetic Agent; Cervical Plexus

• Common Names: Cervical Plexus Block, Cervical Nerve Block

Summary

A cervical plexus block involves injecting an anesthetic agent near the cervical plexus nerves in the neck to numb the area for surgery or pain relief.

Purpose

The procedure addresses pain in the neck and shoulders, often due to surgery, injury, or chronic pain conditions. The goal is to provide localized pain relief, enabling better surgical outcomes or pain management.

Indications

• Neck surgery (e.g., carotid artery surgery)
• Chronic neck pain
• Shoulder surgery
• Pain management post-injury or trauma to the neck region

Preparation

• Patients may need to fast for at least 6 hours before the procedure.
• Medication adjustments, particularly blood thinners, per physician's instructions.
• Pre-procedure diagnostic tests, such as imaging studies or blood tests, may be required.

Procedure Description

1. The patient is positioned, typically lying on their back.
2. The neck area is cleaned and sterilized.
3. Using ultrasound or a nerve stimulator for guidance, the physician locates the cervical plexus nerves.
4. A needle is inserted through the skin and directed towards the cervical plexus.
5. Anesthetic agent is injected near the nerves to numb the area.
6. The needle is removed, and the site is bandaged.

Tools/Equipment:

• Ultrasound machine or nerve stimulator
• Sterile needle and syringe
• Anesthetic agent

Anesthesia/Sedation:

• Local anesthesia is typically used; sedation may be provided if required.

Duration

The procedure usually takes about 15-30 minutes.

Setting

Performed in a hospital, outpatient clinic, or surgical center.

Personnel

• Anesthesiologist or pain specialist
• Nurse assistant
• Ultrasound technician (if applicable)

Risks and Complications

Common:

• Bruising at injection site
• Temporary numbness

Rare:

• Infection
• Bleeding
• Nerve damage
• Allergic reaction to the anesthetic

Benefits

• Effective localized pain relief
• Reduced need for general anesthesia in some surgeries
• Improved surgical outcomes or pain management

Recovery

• Patients may experience temporary numbness; normal sensation typically returns within hours.
• Post-procedure care involves monitoring for complications.
• There may be mild soreness at the injection site.
• Follow-up appointments as advised.

Alternatives

• Oral pain medications
• Physical therapy
• Other types of nerve blocks or injections

Pros and Cons:

• Oral medications are less invasive but may be less effective for severe pain.
• Physical therapy requires more time and effort with varying results.

Patient Experience

• Patients will feel a needle prick and may experience pressure or brief discomfort.
• During recovery, there may be numbness and minor soreness.
• Pain management and comfort measures include oral pain relief and care tips for soreness.