Successful awake total thyroidectomy using a bilateral intermediate cervical plexus block technique in a high-risk patient: a challenge for the anesthesiologists’ case report

This case report highlights the use of bilateral cervical plexus block (BICPB) in patients with ankylosing spondylitis and other comorbidities after a total thyroidectomy. This method is safer and more effective than general anesthesia, providing pain-free periods and reducing the need for analgesics and opioids. However, anesthesiologists must consider the disease extension, upper airway involvement, positioning difficulties, and technical difficulties when planning anesthesia management.