2020
DOI: 10.7759/cureus.9072
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Ultrasound-Guided Clavipectoral Fascial Plane Block for Surgery Involving the Clavicle: A Case Series

Abstract: The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. While the cutaneous innervation of the skin above the clavicle is well-known to be supplied by the supraclavicular nerve of the superficial cervical plexus (SCP), the sensory innervation of the clavicle itself is somewhat controversial. Despite this controversy, it has been hypothesized that the CPB is an effective regional anesthesia technique for peri-operative analgesi… Show more

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Cited by 19 publications
(41 citation statements)
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“…Sivashanmugam et al considered the SCUT block as an effective site-specific RA strategy for clavicle surgery in their study on 70 patients [38]. Plexus blocks like ISB or SCPB can cause hemidiaphragmatic paresis due to associated blockade of the phrenic nerve that can cause detrimental effects in some patients with obstructive sleep apnea, obesity, or significant underlying lung disease [14]. ISB can also cause motor blockade of the upper extremity and other complications like Horner's syndrome, local anesthetic systemic toxicity, total spinal anesthesia, nerve injuries [39][40][41][42], and adverse events like epidural or vertebral artery injections [43].…”
Section: Discussionmentioning
confidence: 99%
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“…Sivashanmugam et al considered the SCUT block as an effective site-specific RA strategy for clavicle surgery in their study on 70 patients [38]. Plexus blocks like ISB or SCPB can cause hemidiaphragmatic paresis due to associated blockade of the phrenic nerve that can cause detrimental effects in some patients with obstructive sleep apnea, obesity, or significant underlying lung disease [14]. ISB can also cause motor blockade of the upper extremity and other complications like Horner's syndrome, local anesthetic systemic toxicity, total spinal anesthesia, nerve injuries [39][40][41][42], and adverse events like epidural or vertebral artery injections [43].…”
Section: Discussionmentioning
confidence: 99%
“…Clavipectoral fascial plane block can be administered bilaterally without the risk of any neural damage, phrenic nerve blockade, or upper limb paralysis to provide effective anesthesia or analgesia in clavicle surgeries [ 14 , 17 ]. The advantages of CPB include the ease of administration, an advanced safety profile in patients with respiratory diseases, and improved safety advantage due to superficial injection limited by the natural backstop (clavicle) that avoids injury to deeper structures [ 14 ]. It acts by blocking all the nerves running in the plane between the clavipectoral fascia and the periosteal collar of the clavicle.…”
Section: Discussionmentioning
confidence: 99%
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