Abstract：
Cervical epidural anesthesia (CEA) is a well-established technique and is suitable for various surgeries, including carotid, thyroid, airway, neck cancer, breast, and upper limb procedures. We report the case of an elderly woman with a recurrent neck mass secondary to metastatic papillary thyroid carcinoma causing neurovascular compression, who underwent surgery under CEA. Five milliliters of 0.5% bupivacaine and 5 mL of 2% lidocaine (total 10 mL) were administered into the cervical epidural space. Combined with sedation, CEA in our case provided optimal anesthetic conditions, maintaining spontaneous ventilation, preventing airway collapse, ensuring patient comfort, and facilitating surgery.
摘要：
宫颈硬膜外麻醉（CEA）是一种成熟的技术，适用于各种手术，包括颈动脉,甲状腺，气道,颈部癌症,乳房,和上肢手术。我们报告了一例老年妇女，其颈部肿块继发于转移性甲状腺乳头状癌，引起神经血管压迫，在CEA下接受手术的人。将5毫升0.5％布比卡因和5毫升2％利多卡因（总计10毫升）注入宫颈硬膜外腔。结合镇静，在我们的案例中，CEA提供了最佳的麻醉条件，保持自发通气，防止气道塌陷，确保患者舒适，并促进手术。
