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Regional Workshop
Cardiac Pacemaker: A New Indication for Cervical Plexus Block
  1. Teruel de Campo, MD and
  2. Vincente S. Pallares, MD
  1. Dr. Campo is assistant professor, departments of anesthesiology and surgery, and director, surgical intensive care unit, University of Colorado Health Sciences Center, Denver. Dr. Pallares is professor, departments of anesthesiology and orthopedics and rehabilitation, and director, pain clinic, Jackson Memorial Hospital, University of Miami, Florida.

Abstract

Cervical plexus block with bupivacaine 0.375% was evaluated in 26 patients undergoing cardiac pacemaker insertion or battery change. Twenty-three patients (88%) had complete anesthesia, and six patients (23%) complained of discomfort or mild pain during the distal dissection of the pocket, most likely due to stimulation of T2. However, analgesia was required in only three of the patients.

Cervical block offers an effective alternative anesthetic approach to local infiltration for pacemaker surgery.

https://doi.org/10.1136/rapm-00115550-198001000-00009

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