Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Baran, Onur; Kır, Bünyamin; Ateş, İrem; Şahin, Ayhan; Üztürk, Ali

doi:10.4097/kja.d.18.00296

Cited by 14 publications

(17 citation statements)

References 6 publications

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“…Following a thorough review of the titles, abstracts, full-text, and reference lists, we included and extracted data from a total of 44 studies and/or reports containing patient data, spanning a total of 3161 patients with clavicular fractures who received some form of regional anesthesia and analgesia. We excluded one retracted article and its retraction note from the final list of 44 studies [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. There were 5 RCTs, 5 prospective observational studies, 5 retrospective observational studies, and 29 case reports/case series included in this scoping review ( Figure 1 and Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Most studies purportedly, in-text, included a SCPB (28 articles). However, considering the nomenclature differences above, we contend that at least 14 of these studies described an ICPB, while 5 studies performed a SCPB ( Table 3 ) [ 7 , 8 , 13 , 15 , 21 , 23 , 25 , 28 , 32 , 33 , 34 , 36 , 37 , 38 , 39 , 42 , 43 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 59 , 60 ]. Taking the in-text description at face value, two articles seemed to describe a deep cervical plexus block with deposition of LA below the prevertebral fascia, while the remaining eight studies did not provide sufficient detail to classify the block [ 8 , 15 , 28 , 33 , 34 , 36 , 37 , 48 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…Cervical plexus blockade was also commonly used in combination with another nerve or fascial plane block. The most common combined technique utilized cervical plexus blockade with an ISB, as reported in 18 studies [ 7 , 8 , 13 , 21 , 23 , 25 , 32 , 36 , 37 , 38 , 39 , 43 , 45 , 46 , 48 , 51 , 52 , 53 ]. Of these, five studies utilized a SCPB, and nine studies described an ICPB [ 7 , 13 , 21 , 23 , 25 , 32 , 38 , 39 , 45 , 46 , 48 , 51 , 52 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

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Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1—A Scoping Review

et al. 2022

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Objective. Clavicle fractures are common injuries potentially associated with significant perioperative pain. However, this region’s complex sensory innervation poses a challenge for regional anesthetic or analgesic (RA) techniques. We conducted this scoping review to summarize the current literature, particularly with regards to motor-sparing techniques. Methods. A scoping review was carried out in accordance with the Joanna Briggs Institute’s framework. All articles describing the use of RA for clavicle fractures or surgery were included. PubMed®, Ovid MEDLINE®, EMBASE®, Scopus®, CINAHL®, and the Cochrane database were searched without language restrictions. Results. Database searches identified 845 articles, 44 of which were included in this review, with a combined patient total of 3161. We included all peer-reviewed publications containing clinical data and summarized the findings. Conclusions. Current evidence of RA techniques in clavicle surgery is heterogeneous, with different approaches used to overcome the overlapping sensory innervation. The literature largely comprises case reports/series, with several randomized controlled trials. Intermediate cervical plexus block is the regional technique of choice for clavicle surgery, and can provide reliable surgical anesthesia when combined with an interscalene block. Cervical plexus block can provide motor-sparing analgesia following clavicle surgery. Promising alternatives include the clavipectoral block, which is a novel motor-sparing regional technique. Further studies are required to determine the efficacy and safety of various techniques.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1—A Scoping Review

et al. 2022

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“…Inferiorly protruding osteophytes as well as soft tissue hypertrophy of the ACJ accelerates narrowing of the supraspinatus outlet[ 11 - 13 ]. Narrowing of the outlet space, whose borders are formed by the coracoacromial ligament, coracoid process, anterior aspect of the acromion, and ACJ, has been reported as the primary cause for the development of rotator cuff tears and subsequent impingement syndrome[ 14 - 24 ]. Thus, positive associations regarding the incidence of rotator cuff tears and the severity of ACJ degeneration have been demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of the acromioclavicular joint cross-sectional area as a diagnostic image parameter of acromioclavicular osteoarthritis

Joo¹,

Moon²,

Han³

et al. 2022

WJCC

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BACKGROUND Acromioclavicular joint (ACJ) space narrowing has been considered to be an important diagnostic image parameter of ACJ osteoarthritis (ACJO). However, the morphology of the ACJ space is irregular because of osteophyte formation, subchondral irregularity, capsular distention, sclerosis, and erosion. Therefore, we created the ACJ cross-sectional area (ACJCSA) as a new diagnostic image parameter to assess the irregular morphologic changes of the ACJ. AIM To hypothesize that the ACJCSA is a new diagnostic image parameter for ACJO. METHODS ACJ samples were obtained from 35 patients with ACJO and 30 healthy individuals who underwent shoulder magnetic resonance (S-MR) imaging that revealed no evidence of ACJO. Oblique coronal, T2-weighted, fat-suppressed S-MR images were acquired at the ACJ level from the two groups. We measured the ACJCSA and the ACJ space width (ACJSW) at the ACJ on the S-MR images using our imaging analysis program. The ACJCSA was measured as the cross-sectional area of the ACJ. The ACJSW was measured as the narrowest point between the acromion and the clavicle. RESULTS The average ACJCSA was 39.88 ± 10.60 mm 2 in the normal group and 18.80 ± 5.13 mm 2 in the ACJO group. The mean ACJSW was 3.51 ± 0.58 mm in the normal group and 2.02 ± 0.48 mm in the ACJO group. ACJO individuals had significantly lower ACJCSA and ACJSW than the healthy individuals. Receiver operating characteristic curve analyses demonstrated that the most suitable ACJCSA cutoff score was 26.14 mm 2 , with 91.4% sensitivity and 90.0% specificity. CONCLUSION The optimal ACJSW cutoff score was 2.37 mm, with 88.6% sensitivity and 96.7% specificity. Even though both the ACJCSA and ACJSW were significantly associated with ACJO, the ACJCSA was a more sensitive diagnostic image parameter.

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“…The combined supraclavicular block and cervical plexus superficial block done under ultrasound control can be a successful competitor in the interscalen approach to plexus brachialis to avoid possible complications associated with the plexus block, and more research is needed in the near future ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

Comparison of Plexus Brachial Blockade Effect by Supraclavicular and Axillary Approach - our Experience

Suljevic

Suljević

Turan

et al. 2019

ACC

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Introduction. Brachialis plexus block is a frequently used method of regional anesthesia that can be performed in several ways and locations. It has been successfully performed to provide good anesthesia and analgesia lasting several hours for operative procedures on hands. It can be performed by paresthesia technique or by ultrasound that has almost pushed out the old conventional technique since it allows the visualization of the blockade performance. Target. In the paper we use our sample to try to determine which of the two locations of the blockageis more favorable for the patient, and which one gives a higher percentage of success or a better sensory blockade. Method. This is a retrospective study and includes 40 patients of both sexes that were operated on at the Clinic for Traumatology and the Clinic for Plastic Surgery of the University Clinical Center in Sarajevo in the period from 30 August 1993 to 30 August 1994. Patients were divided into two groups. Group I were patients who had an axillary approach to plexus brachialis (n-21) ASA I-II. Group II were patients who had supraclavicular access to plexus brachialis (n-19) ASA I-II. All patients received 0.5 ml / kg Bupivacaine 0.5%. In the study, we analyzed sex, age, duration of blockade and complications. Analgesia and motor block were evaluated 20 minutes after the local anesthetic injection. The complete block is defined as analgesia in all dermatomes (C5-Th1) 20 minutes after injection. The results. Group I had 20 male and 1 female patients while group II had 17 male and 2 female patients. The supraclavicular block enabled complete blockade in 18 patients (95.23%), and the axillary approach had a successful blockade in 17 patients (80.95%). In both groups the corresponding motor block was similar. The start of the engine block was similar in both groups. There were no significant complications in either group. Conclusion. Regarding clinical efficacy, both brachial plexus blocking approaches provided a good motor block, anesthesia and analgesia for the forearm or hand surgery. Supraclavicular approach proved to be more favorable.

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Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Cited by 14 publications

References 6 publications

Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1—A Scoping Review

Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1—A Scoping Review

Usefulness of the acromioclavicular joint cross-sectional area as a diagnostic image parameter of acromioclavicular osteoarthritis

Comparison of Plexus Brachial Blockade Effect by Supraclavicular and Axillary Approach - our Experience

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