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

被引:7
作者
Diwan, Sandeep [1 ]
Nair, Abhijit [2 ]
Sermeus, Luc A. [3 ]
Patil, Atul A. [4 ]
Attarde, Dheeraj Somnath [4 ]
机构
[1] Sancheti Hosp, Dept Anesthesiol, Pune 411005, Maharashtra, India
[2] Basavatarakam Indoamer Canc Hosp & Res Inst, Dept Anesthesiol, Hyderabad, Telangana, India
[3] Catholic Univ Louvain, Dept Anaesthesiol, Clin Univ St Luc, Brussels, Belgium
[4] Sancheti Hosp, Dept Orthoped, Pune, Maharashtra, India
来源
A & A PRACTICE | 2020年 / 14卷 / 12期
关键词
FRACTURE; PATIENT;
D O I
10.1213/XAA.0000000000001322
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页数:6
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