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A randomized clinical trial was aimed to investigate the usage of superficial cervical plexus alone vs. in combo with interscalene block in 70 individuals undergoing surgery of the fractured clavicle.
In individuals undergoing internal
fixation of the clavicular fracture, the perioperative pain-relieving effect of
superficial cervical plexus alone was found to display equal effectiveness to
its usage in combo with the interscalene block.
A
randomized
clinical trial was aimed to investigate the usage of superficial
cervical plexus alone vs. in combo with interscalene block in 70 individuals
undergoing surgery of the fractured clavicle.
The
recruited participants were divided into two arms: (I) Subjects treated with
superficial cervical plexus block, (II) Subjects treated with the combination
of superficial cervical plexus block and interscalene block. The regional
anesthesia techniques were carried out prior to stimulating general anesthesia.
The intrasurgery isoflurane and fentanyl intake, the postsurgery morphine
intake, the postsurgery pain score, the duration of postsurgery analgesia, the
perioperative complications occurrence, and the patient's satisfaction were
recorded.
Compared to the usage of combined cervical plexus block and interscalene block, the usage of cervical plexus block alone did not considerably alter the postsurgery morphine consumption (8.4±3.3 mg versus 7.3±3.2 mg), the time to the initial request of postsurgery analgesia (396.7 193.4 min versus 407.7±150.0 min), or the postoperative pain score.
Also, no alteration was witnessed in the
intrasurgery fentanyl and isoflurane intake, perioperative complication
occurrence, or participant's satisfaction. It considerably declined phrenic
nerve palsy occurrence.
The superficial cervical plexus alone
has comparable analgesic efficacy when compared to its usage in combination
with interscalene block in individuals undergoing surgery for clavicle
fractures.
Minerva Anestesiologica
Superficial cervical plexus block alone or combined with interscalene brachial plexus block in surgery for clavicle fractures: a randomized clinical trial
Mohamed S Abdelghany et al.
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