Ultrasound-Guided Combined Interscalene-Cervical Plexus Block for Surgical Anesthesia in Clavicular Fractures: A Retrospective Observational Study

Balaban, Onur; Dülgeroğlu, Turan Cihan; Aydın, Taner

doi:10.1155/2018/7842128

Cited by 21 publications

(34 citation statements)

References 22 publications

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“…All procedures were completed under regional anesthesia alone; however, Horner's syndrome was observed in 8 patients (26.7%) and hoarseness of voice occurred in 5 patients (16.7%). Balaban et al [4] reported 12 patients who underwent clavicle surgery under combined interscalene-intermediate cervical plexus block. They performed ultrasound-guided, single-insertion, double-injection block using an in-plane technique for intraoperative analgesia.…”

Section: Discussionmentioning

confidence: 99%

Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Baran

Kır

Ateş

et al. 2020

Korean J Anesthesiol

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Background: Clavicle fractures occur in 35% of shoulder girdle fractures. Surgical fixation is preferred, especially in young patients for optimal functional outcomes, while nondisplaced fractures are usually treated conservatively. Case: A 38-year-old male patient was admitted to the emergency services with a fracture of the left clavicle following a fall. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular and superficial cervical plexus block was performed under ultrasound guidance without complications and the patient experienced no pain. Conclusions: This technique may avoid possible complications related to interscalene brachial plexus block. Future studies are required to confirm the safety and efficacy of this approach.

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Section: Discussionmentioning

confidence: 99%

Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Baran

Kır

Ateş

et al. 2020

Korean J Anesthesiol

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“…also did not report any complications in their study of ultrasound-guided combined interscalene and superficial cervical plexus block for surgical anesthesia in clavicular fractures. [16] Brown et al . also concluded a lower incidence of complications such as nausea, vomiting, urinary retention, and overnight hospital admission after interscalene block was administered for shoulder surgery than in the general anesthesia group.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery: A comparative analysis

2019

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Background: General anesthesia is preferred for clavicular surgeries. With the advent of ultrasound-guided technology, interscalene brachial plexus block with superficial cervical nerve block has become a new option for providing intraoperative anesthesia and postoperative analgesia for surgeries of the clavicle. Aims and Objectives: The present study compares the ultrasound-guided interscalene brachial plexus nerve block combined with superficial cervical nerve block to general anesthesia in clavicular surgery. Settings and Design: This study was a randomized controlled trial in a tertiary care setting. Materials and Methods: A total of 60 patients between 18 and 60 years who were scheduled for clavicular surgeries were randomly and equally divided into Group B and Group G. Group B received ultrasound-guided interscalene brachial plexus block with superficial cervical nerve block. Group G received general anesthesia. Time duration between start of anesthesia to the incision time, intraoperative vitals, and time spent in postanesthesia care unit, postoperative pain scores, postoperative analgesic consumption, and complications were noted and compared. Statistical Analysis: Statistical analyses were done using SPSS software 20.0. Normality tests were applied, and accordingly, parametric and nonparametric tests were used to calculate the results. Results: The demographic data were comparable in both the groups. Time duration between start of anesthesia to the incision time was significantly more in Group B than in Group G. The time spent in postanesthesia care unit and postoperative pain scores were significantly more in Group G than Group B. Total postoperative opioid consumption was significantly less in Group B than in Group G. Conclusion: Ultrasound-guided interscalene brachial plexus block combined with superficial cervical nerve block is a safe and effective mode of anesthesia in comparison to general anesthesia for clavicle surgeries.

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“…The sensory innervation of the clavicle and the overlying skin is not clearly identified, and it varies depending on the source between C3 and C6 [4,[32][33][34]. The C3-C5 roots contribute to the dermatomal innervations, whereas the C3-C7 roots contribute to the myotomal and osteotomal innervations.…”

Section: Identifying Target Nerves For Clavicle Surgerymentioning

confidence: 99%

ticle Uncovering secrets of the beauty bone: A comprehensive review of anatomy and regional anesthesia techniques of clavicle surgeries

Sonawane¹,

Dixit²,

Balavenkatasubramanian³

et al. 2021

Open J Orthop Rheumatol

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The clavicle is the most frequently fractured bone in humans. General anesthesia with or without Regional Anesthesia (RA) is most frequently used for clavicle surgeries due to its complex innervation. Many RA techniques, alone or in combination, have been used for clavicle surgeries. These include interscalene block, cervical plexus (superficial and deep) blocks, SCUT (supraclavicular nerve + selective upper trunk) block, and pectoral nerve blocks (PEC I and PEC II). The clavipectoral fascial plane block is also a safe and simple option and replaces most other RA techniques due to its lack of side effects like phrenic nerve palsy or motor block of the upper limb. We present a comprehensive review of anatomy and RA techniques of clavicle surgeries. This review will help readers understand the functional anatomy and nature of clavicle fractures, and apply an algorithmic approach to procedure-specific blocks for complexly innervated structures like clavicle.

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Ultrasound-Guided Combined Interscalene-Cervical Plexus Block for Surgical Anesthesia in Clavicular Fractures: A Retrospective Observational Study

Cited by 21 publications

References 22 publications

Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Combined supraclavicular and superficial cervical plexus block for clavicle surgery

Ultrasound-guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery: A comparative analysis

ticle Uncovering secrets of the beauty bone: A comprehensive review of anatomy and regional anesthesia techniques of clavicle surgeries

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