Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct;14(12):e01322.
doi: 10.1213/XAA.0000000000001322.

Low-Volume Local Anesthetics for C5 and Supraclavicular Nerve Blocks for Mid and Lateral Clavicle Surgery: A Case Series

Sandeep Diwan  1 , Abhijit Nair  2 , Luc A Sermeus  3 , Atul A Patil  4 , Dheeraj Somnath Attarde  4
Affiliations

Low-Volume Local Anesthetics for C5 and Supraclavicular Nerve Blocks for Mid and Lateral Clavicle Surgery: A Case Series

Sandeep Diwan et al. A A Pract. 2020 Oct.

Abstract

After institutional ethics committee approval and informed consent, 20 patients with clavicle fractures were recruited. An ultrasound-guided C5 root block was performed by injecting 3 mL of 0.5% bupivacaine with a subsequent ultrasound-guided supraclavicular nerve (SCN) block with 3 mL of 0.5% bupivacaine. A combination of low-volume C5 root block and SCN block provided reliable awake anesthesia and postoperative analgesia in patients with fractured clavicles. This technique can avoid a general anesthesia for fractures of the mid and lateral clavicle. Further studies should focus on the optimal volume of local anesthetics required for the success of this technique.

PubMed Disclaimer

References

    1. Reverdy F. Combined interscalene-superficial cervical plexus block for clavicle surgery: an easy technique to avoid general anesthesia. Br J Anaesth. 2015;115.
    1. Vandepitte C, Latmore M, O’Murchu E, Hadzic A, Van de Velde M, Nijs S. Combined interscalene-superficial cervical plexus blocks for surgical repair of a clavicular fracture in a 15-week pregnant woman. Int J Obstet Anesth. 2014;23:194–195.
    1. Tran DQ, Tiyaprasertkul W, González AP. Analgesia for clavicular fracture and surgery: a call for evidence. Reg Anesth Pain Med. 2013;38:539–543.
    1. Pinto LDC, Silva CHRD, Gonçalves PMSE, Valadares RJ. Supraclavicular nerve and superior trunk block for surgical treatment of clavicle fracture in a patient with Steinert’s disease - case report. Rev Bras Anestesiol. 2019;69:99–103.
    1. Shanthanna H. Ultrasound guided selective cervical nerve root block and superficial cervical plexus block for surgeries on the clavicle. Indian J Anaesth. 2014;58:327–329.

Substances

LinkOut - more resources