What procedure is indicated when both common carotids are elevated during arterial injection?

The appropriate procedure when both common carotids are elevated during arterial injection is restricted cervical injection. This approach is indicated in situations where you want to control the distribution of embalming fluid, particularly in the head and neck regions, which can be significantly impacted if both carotids are engaged simultaneously.

Restricted cervical injection involves utilizing a technique that allows for managing the flow of the embalming fluid to the head without causing an excessive volume to enter either carotid artery. By elevating both common carotids, it indicates that one has to be strategic about the injection process to avoid complications such as overdistension or uneven distribution of the fluid.

This method helps to ensure that the embalming process effectively preserves and maintains the appearance of the facial tissues while preventing potential issues associated with undue pressure in the carotids. It’s particularly useful in managing cases where there may be concerns about fluid distribution and tissue response.

Other techniques, while they may serve specific purposes in embalming, do not provide the same level of control in circumstances where both common carotids are engaged. For instance, subclavian injection focuses on a different anatomical area, while common carotid and direct injections are more straightforward methods that would not address the unique issues presented when both carotids are elevated.