Ultrasound guided interscalene block is a safe technique in neck breathers

Regional anaesthesia is challenging in surgical patients with anatomical abnormalities. Patients who have undergone total laryngectomy have a permanent tracheostomy, and these individuals are termed as neck breathers. These patients have distorted anatomy due to radiation and chemotherapy. We are report the successful management of a neck breather with distorted neck anatomy for surgery of the arm with an ultrasound guided interscalene block.