scholarly journals Regional Anaesthesia in Clavicle Surgery

2017 ◽  
Vol 56 (206) ◽  
Author(s):  
Babu Raja Shrestha ◽  
Puja Sharma
Keyword(s):  
General Anaesthesia ◽  
Regional Anaesthesia ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Routine Practice ◽  
Clavicular Fracture ◽  
Cervical Plexus ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

In routine practice, regional anaesthesia is less commonly used for clavicular fracture compared to general anaesthesia. We report two cases of clavicle fracture for which operative treatment was done under combined superficial cervical plexus andinterscalene brachial plexus block. Inboththe cases combination of ropivacaine anddexmeditomidine was used forblock. Both the patients exhibited comfort and there was no additional analgesic demand in both the cases.Thuscombination ofinterscalene and superficial cervical plexus block can prove to be useful in patients with clavicle fracture where administration of general anaesthesia and its adverse effects could be avoided. [PubMed]

scholarly journals Combined Interscalene and Superficial Cervical Plexus Block for Clavicle Surgery: Case Series

2019 ◽  
Vol 2 (1) ◽  
pp. 95-97
Author(s):  
Kiran Kumar K.C. ◽  
Sundar Hyoju ◽  
Pawan kumar Raya ◽  
Chhanda Budhathoki ◽  
Ram Prasad Sharma ◽  
...  
Keyword(s):  
Regional Anesthesia ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Case Series ◽  
Anesthetic Technique ◽  
Cervical Plexus ◽  
Interscalene Brachial Plexus Block ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

General Anesthesia is preferred over regional anesthesia in clavicle surgery. We report 3 cases of clavicle fracture which was performed under USG guided combined Interscalene and Superficial cervical plexus block. All the patients were comfortable and there was no need for additional analgesia. Thus regional anesthesia can be used as a sole anesthetic technique in patients with clavicle fracture and can be an alternative where general anaesthesia and its adverse effects needs to be avoided. Keywords: clavicle fracture; interscalene brachial plexus block; superficial cervical plexus block. Correspondance: Dr.

scholarly journals Bilateral superficial cervical plexus block combined with general anaesthesia for thyroid surgery-a comparative study of intraoperative haemodynamic status and safety

2017 ◽  
Vol 6 (1) ◽  
pp. 236
Author(s):  
Nedumaran Velayutham ◽  
Selvaraju . ◽  
Shanmugavelu .
Keyword(s):  
Blood Pressure ◽  
General Anaesthesia ◽  
Thyroid Surgery ◽  
Hemodynamic Parameters ◽  
Cervical Plexus ◽  
Hemodynamic Status ◽  
Intraoperative Period ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

Background: When general anaesthesia is employed for a surgery, the hemodynamic changes are intense during intubation, intraoperative stress and extubation. Hence, in the present study, by employing Bilateral Superficial Cervical Plexus Block using 0.5% Bupivacaine prior to skin incision, assessment of hemodynamic effects during intraoperative period is done. The aim of the study was to compare the intra operative hemodynamic status and the safety of bilateral superficial cervical plexus block with general anesthesia in thyroid surgerie.Methods: Bilateral superficial cervical plexus block was performed in patients undergoing simple thyroid surgery using normal saline in 29 control group patients and 0.5% Bupivacaine in 29 study group patients. Intraoperative hemodynamic status was monitored in both the groups using parameters such as heart rate, systolic blood pressure, diastolic blood pressure and mean blood pressure.Results: Hemodynamic parameters are not altered during the intraoperative period in the study and control group.Conclusions: Bilateral Superficial Cervical Plexus Block with bupivacaine did not alter the intraoperative hemodynamic parameters.

scholarly journals Comparison of Ultrasound Guided Interscalene and Supraclavicular Brachial Plexus Block for Clavicle Fracture Surgery

2018 ◽  
Vol 14 (4) ◽  
pp. 189-195
Author(s):  
Lalit Kumar Rajbanshi ◽  
Batsalya Arjyal ◽  
Akriti Bajracharya ◽  
Kanak Khanal
Keyword(s):  
Brachial Plexus ◽  
Motor Block ◽  
Brachial Plexus Block ◽  
Clavicle Fracture ◽  
Care Hospital ◽  
Cervical Plexus ◽  
Supraclavicular Approach ◽  
Supraclavicular Brachial Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

Introduction:The clavicle has dual nerve supply from the brachial plexus and cervical plexus. The interscalene brachial plexus block combined with superior cervical plexus block is frequently used for the clavicle surgery. This study was conducted to compare ineterscalene approach with the supraclavicular approach for brachial plexus block used for clavicle surgery Methodology:This was prospective comparative study conducted for two years in tertiary care hospital. Sixty patients with clavicle fracture with ASA I and II were randomly divided into two equal groups; ISBPB (interscalene approach) and SCBPB (supraclavicular approach). Both of these blocks were combined with superior cervical plexus block.  Ultrasound was used to perform all the blocks. Primary outcome for the comparison was block characteristics, which included sensory and motor block onset, duration, and block satisfaction. The secondary variables used for comparison were analgesic properties and complications. Results: Supraclavicular brachial plexus had rapid onset of sensory and motor block and was statistically significant (P<0.05) as compared to interscalene approach. Similarly, SCBPB had significantly longer duration of sensory block (P=0.003). The duration of motor block was comparable between the blocks. The intraoperative pain score (VAS), requirement of rescue analgesia with in 24 hours of surgery and complications related with the procedures were comparable between the two groups. Majority of the patients were satisfied with either of the approach for brachial plexus block. Conclusion: Supraclavicular brachial plexus block combined with superior cervical plexus block provided equally effective and adequate anesthesia and analgesia for clavicle surgery with comparable complications as compared to interscalene approach.

scholarly journals A Comparative Study of Interscalene Block Vs. Interscalene Block with Superficial Cervical Plexus Block for Clavicular Plating

2019 ◽  
Vol 17 (2) ◽  
pp. 10-13
Author(s):  
Nabin Kumar Regmi ◽  
Kapil Pokhrel
Keyword(s):  
Patient Satisfaction ◽  
Comparative Study ◽  
Outcome Measures ◽  
Regional Anaesthesia ◽  
Interscalene Block ◽  
Cervical Plexus ◽  
Group I ◽  
Superficial Cervical Plexus Block ◽  
Cervical Plexus Block ◽  
Plexus Block

Background: Regional anaesthesia for fixation of clavicle fracture is a new concept. Various techniques of regional anaesthesia are being tried to find the optimal type. Combined interscalene and superficial cervical plexus block is widely accepted. Aim of Study: This study aims to compare the efficacy of interscalene block (ISB) with combined interscalene block and superficial cervical plexus block (ISB+ SCPB) for clavicular plating. Material and Methods: This prospective, hospital based comparative study was conducted from March 2019 to October 2019, in the department of anaesthesiology, Nepalgunj Medical College. 60 ASA category I and II patients undergoing clavicular plating and belonging to age group 16-65 years were enrolled. Patients were divided into two groups: Group I: ISB (n=30), Group II: ISB+ SCPB (n=30). Blocks were given using landmark technique. Primary outcome measures were conversion to general anesthesia (GA), requirement of supplemental analgesia and patient satisfaction. Secondary outcome measures were sensory and motor block, duration of analgesia and complications. These outcome measures were compared between the groups. Results: No patient required conversion to GA. The number of patient requiring supplemental analgesia was significantly higher in ISB group in comparison to ISB+ SCPB. Patient satisfaction was excellent in both groups. No statistically significant complications were seen in either group. Conclusion: Interscalene block combined with Superficial Cervical Plexus Block (ISB + SCPB) has better efficacy than Interscalene block (ISB) alone for clavicular plating. Nevertheless, both techniques avoid GA and provide excellent patient satisfaction level.  

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