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

Diwan, Sandeep;Nair, Abhijit;Sermeus, Luc A;Patil, Atul A;Attarde, Dheeraj Somnath
(2020) A&A practice — Vol. 14, n° 12, p. e01322 (2020)

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Authors
  • Diwan, Sandeep
    Author
  • Nair, Abhijit
    Author
  • Sermeus, Luc AUCLouvain
    Author
  • Patil, Atul A
    Author
  • Attarde, Dheeraj Somnath
    Author
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.
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Diwan, S., Nair, A., Sermeus, L. A., Patil, A. A., & Attarde, D. S. (2020). Low-Volume Local Anesthetics for C5 and Supraclavicular Nerve Blocks for Mid and Lateral Clavicle Surgery: A Case Series. A&A practice, 14(12), e01322. https://doi.org/10.1213/XAA.0000000000001322 (Original work published 2020)