Bilateral combined (superficial and deep) cervical plexus block for thyroidectomy [Bi̇lateral kombi̇ne (yüzeysel ve deri̇n) servi̇kal pleksus bloǧu i̇le total ti̇roi̇dektomi̇ ameli̇yati]

Thyroidectomy has been often performed under general anesthesia via introducing endotracheal entubation. however,cervical plexus block can be applied in selected cases. an anatomical examination of the neck shows that the superficial branches of the cervical plexus innervate neck and shoulder skin and the superficial tissues while the deep branches of the cenical plexus innervate the deep structures of the neck,muscles of the anterior neck and the diaphragm. bilateral combined (deep and superficial) cervical plexus block (cpb) can be prefered with sedation especially in the patients with cardiopulmonary diseases rather than general anesthesia. we performed bilateral combined (deep and superficial) cervical plexus block for the patient,who we assumed,would be under risk taking general anesthesia as he had cystic lesions on the left lung and was suffering from advanced chronic obstructive pulmonary disease (copd). sedation with propofol and remifentanil infusions were given during surgery. the operation was successfully carried out with uncomplicated.