Combination of Interscalen Brachial Plexus Block and Superficial Cervical Plexus Block in The Patient to be Operated to Clavicular Excision of Chordoma: A Case Report

Abstract Background: Clavicular surgery can be performed under general or regional anesthesia with peripheral nerve blocks. Case: A 29-year-old man with cerebrovascular disease, interstitial lung disease, tumour in lung, right vocal cord paralysis, cervical, thoracic and lumbar stabilization was scheduled for regional anesthesia to undergo metastatic chordoma at clavicle. Considering the risks, the patient who will be operated on for tumour excision in the right clavicle, who is predicted to have difficult intubation due to limitation of extension secondary to a previous posterior cervical instrumentation, is treated with interscalene brachial plexus block and superficial cervical plexus block combination to avoid multiple drug use and complications that may arise during intubation. Conclusions: Regional anesthesia seems like a reasonable alternative to general anesthesia and may be a good option for perioperative analgesia management in clavicle surgery.