Regional Anaesthesia in Clavicle Surgery

• Published in: Journal of Nepal Medical Association Vol. 56; no. 206; pp. 265 - 267
• Main Authors: Shrestha, B R, Sharma, P
• Format: Journal Article
• Language: English
• Published: Nepal Nepal Medical Association 01.04.2017
• Subjects: Adult; Anesthesia, Conduction - methods; Anesthetics, Local - administration & dosage; Brachial Plexus Block - instrumentation; Brachial Plexus Block - methods; Cervical Plexus Block - instrumentation; Cervical Plexus Block - methods; Clavicle - injuries; Clavicle - surgery; clavicle fracture; interscalene brachial plexus block; superficial cervical plexus block; Fracture Fixation - adverse effects; Fracture Fixation - methods; Fractures, Bone - surgery; Humans; Male; Pain, Postoperative - prevention & control; Ropivacaine - administration & dosage; Surgery, Computer-Assisted - methods; Treatment Outcome; Ultrasonography - methods; clavicle fracture; interscalene brachial plexus block; superficial cervical plexus block
• ISSN: 0028-2715; 1815-672X
• DOI: 10.31729/jnma.3152

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 and interscalene brachial plexus block. In both the cases combination of ropivacaine and dexmeditomidine was used for block. Both the patients exhibited comfort and there was no additional analgesic demand in both the cases. Thus combination of interscalene 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.