Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

Carotid body tumour (CBT) is an extremely rare, non-chromaffin  paraganglioma arising from chemoreceptor cells at the carotid bifurcation. Reported incidence is 1-2 per 100,000. Surgical excision of the tumour, the definitive treatment, poses several anaesthetic challenges and a high incidence of perioperative morbidity and mortality (20-40%). Very few cases have been reported so far. We report the anaesthetic management of a case of CBT excision with a review of recent literature on the same

Fluoroscopy Guided Cervical Plexus Block for Carotid Endarterectomy - A Case Report

Carotid endarterectomy(CEA) is being increasingly performed under regional anaesthesia supplemented with sedation, the world over. Deep or superficial cervical plexus blocks or a combination of both have been found to be equally effective. Various imaging modalities like fluoroscopy, computed tomography (CT), CT-fluoroscopy, ultra-sound etc have been used to increase the success rates of the technique and to reduce the rate of complications associated with the block. These are especially useful given the varying landmarks quoted by various authors as also inter-individual differences in anatomy. We present a case report of how fluoroscopy aided us in administering cervical plexus block