Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries
Background: Traditionally, General Anesthesia (GA) has been preferred for clavicle fracture fixation, but recent advancements favor ultrasound-guided regional nerve blocks, offering cost-effectiveness, superior postoperative analgesia, and fewer GA-related adverse effects. The study aimed to compare...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KIMS Foundation and Research Center
2025-03-01
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| Series: | Journal of Medical and Scientific Research |
| Subjects: | |
| Online Access: | https://jmsronline.com/archive-article/Clavipectoral-fascia-block-superficial-cervical-plexus-block-surgeries |
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| Summary: | Background: Traditionally, General Anesthesia (GA) has been preferred for clavicle fracture fixation, but recent advancements favor ultrasound-guided regional nerve blocks, offering cost-effectiveness, superior postoperative analgesia, and fewer GA-related adverse effects. The study aimed to compare the duration of post operative analgesia in superficial cervical plexus block with interscalene block (ISB + SCPB) versus superficial cervical plexus block with clavipectoral fascia block (CPB + SCPB) in patients posted for midpoint clavicle surgery.
Material & methods: Prospective observational study was conducted on 70 American Society of Anaesthesiologists (ASA) I and II patients aged between 18 to 60 years of either sex posted for midpoint clavicle surgeries. 35 consecutive patients posted in OT 1 received ISB+SCPB while 35 consecutive patients posted in OT 2 received CPB+SCPB respectively. Patients were monitored for block efficacy in the intraoperative period as well as the duration of postoperative analgesia.
Results: The sensory block onset with ISB+SCPB was 4.9 minutes as compared to 6.5 minutes in CPB+SCPB. Though the sensory onset is delayed in CPB+SCPB, this difference is not statistically significant. ISB+SCPB had the motor block onset at 8.9 minutes and no motor block was elicited in CPB+SCPB. The duration of postoperative analgesia lasted for an average of 12.5 hours in CPB+SCPB as compared to 5.9 hours in ISB+SCPB (p value 0.01).
Conclusion: USG guided CPB+SCPB is a good regional anaesthesia technique which can be considered as an alternative to ISB+SCPB for midpoint clavicle fracture surgery with prolonged post operative analgesia.
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| ISSN: | 2321-1326 2394-112X |