Use of clavipectoral fascia plane block for clavicle fracture repair - Case series

The clavipectoral fascia block is a novel regional technique used for the surgical repair of the midshaft clavicle fracture. The effectiveness of this approach is thought to be based on the spreading the local anaesthetic through the clavipectoral fascia. This case report discusses 8 patients with midshaft or distal clavicular fractures who underwent a clavipectoral fascia block combined with a superficial cervical plexus block. Only one patient reported pain in the recovery room, three patients presented mild pain during the first 24 hours and only one required rescue analgesia with a weak opioid. No incidents or adverse events were documented during the first 24 hours and no motor blockage of the arm was reported. The clavipectoral fascia block is a safe, effective, and straightforward regional technique for analgesic management in clavicle repair. However, further research is needed to assess its efficacy.

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Publication Details

Journal
Colombian Journal of Anesthesiology
Published
2024-10-09
DOI
https://doi.org/10.5554/22562087.e1129
Primary Topic
Shoulder and Clavicle Injuries
Type
article
Field-Weighted Citation Impact
0.00
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article

Use of clavipectoral fascia plane block for clavicle fracture repair - Case series

Noemí García Medina, Carles Espinós Ramírez, Paula Gil Esteller
Colombian Journal of Anesthesiology
Shoulder and Clavicle Injuries
article

Use of clavipectoral fascia plane block for clavicle fracture repair - Case series

Noemí García Medina, Carles Espinós Ramírez, Paula Gil Esteller
article en

Abstract

The clavipectoral fascia block is a novel regional technique used for the surgical repair of the midshaft clavicle fracture. The effectiveness of this approach is thought to be based on the spreading the local anaesthetic through the clavipectoral fascia. This case report discusses 8 patients with midshaft or distal clavicular fractures who underwent a clavipectoral fascia block combined with a superficial cervical plexus block. Only one patient reported pain in the recovery room, three patients presented mild pain during the first 24 hours and only one required rescue analgesia with a weak opioid. No incidents or adverse events were documented during the first 24 hours and no motor blockage of the arm was reported. The clavipectoral fascia block is a safe, effective, and straightforward regional technique for analgesic management in clavicle repair. However, further research is needed to assess its efficacy.

Colombian Journal of Anesthesiology
Universitat Internacional de Catalunya (ES), Consorci Sanitari de Terrassa (ES), Hospital de Manises (ES), Hospital Universitari Germans Trias i Pujol (ES)
Good health and well-being
Openalex Percentile: Top 65%
Shoulder and Clavicle Injuries
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