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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KIMS Foundation and Research Center
2025-03-01
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| Series: | Journal of Medical and Scientific Research |
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| Online Access: | https://jmsronline.com/archive-article/Clavipectoral-fascia-block-superficial-cervical-plexus-block-surgeries |
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| author | Divakar SR Shivakumar G Chilla A Konda RKR |
| author_facet | Divakar SR Shivakumar G Chilla A Konda RKR |
| author_sort | Divakar SR |
| collection | DOAJ |
| description | 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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| format | Article |
| id | doaj-art-43292c1b2b844eb7bf853e04dc25d60c |
| institution | OA Journals |
| issn | 2321-1326 2394-112X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | KIMS Foundation and Research Center |
| record_format | Article |
| series | Journal of Medical and Scientific Research |
| spelling | doaj-art-43292c1b2b844eb7bf853e04dc25d60c2025-08-20T02:08:24ZengKIMS Foundation and Research CenterJournal of Medical and Scientific Research2321-13262394-112X2025-03-01131515510.17727/JMSR.2024/13-9Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeriesDivakar SR0Shivakumar G1Chilla A2Konda RKR3Department of Anaesthesiology, Mandya Institute of Medical Sciences, Mandya, Karnataka 571401, IndiaDepartment of Anaesthesiology, Mandya Institute of Medical Sciences, Mandya, Karnataka 571401, IndiaDepartment of Anaesthesiology, Mandya Institute of Medical Sciences, Mandya, Karnataka 571401, IndiaDepartment of Anaesthesiology, Mandya Institute of Medical Sciences, Mandya, Karnataka 571401, IndiaBackground: 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. https://jmsronline.com/archive-article/Clavipectoral-fascia-block-superficial-cervical-plexus-block-surgeriesclavipectoral fascia blockinterscalene blocksuperficial cervical plexus blockmidpoint clavicle fractures |
| spellingShingle | Divakar SR Shivakumar G Chilla A Konda RKR Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries Journal of Medical and Scientific Research clavipectoral fascia block interscalene block superficial cervical plexus block midpoint clavicle fractures |
| title | Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| title_full | Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| title_fullStr | Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| title_full_unstemmed | Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| title_short | Clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| title_sort | clavipectoral fascia block with superficial cervical plexus block versus interscalene brachial plexus block with superficial cervical plexus block for postoperative analgesia in clavicle surgeries |
| topic | clavipectoral fascia block interscalene block superficial cervical plexus block midpoint clavicle fractures |
| url | https://jmsronline.com/archive-article/Clavipectoral-fascia-block-superficial-cervical-plexus-block-surgeries |
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