Fracture Clavicle
Conditions
Keywords
fracture clavicle, clavipectoral block, superficial cervical block
Brief summary
Ultrasound-guided Clavipectoral fascial plane block versus ultrasound-guided superficial Cervical plexus block in patients undergoing fracture clavicle operation
Detailed description
The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. It has been hypothesized that the CPB is an effective regional anesthesia technique for peri-operative analgesia since the terminal branches of many of the sensory nerves like suprascapular, subclavian, lateral pectoral, and long thoracic nerves pass through the plane between the clavipectoral fascia and the clavicle itself. The ultrasound-guided superficial cervical plexus (SCP) block may be useful for providers in emergency care settings who care for patients with ear, neck, and clavicular region injuries, including clavicle fractures and acromioclavicular dislocations. The SCP originates from the anterior rami of the C1-C4 spinal nerves and gives rise to 4 terminal branches (greater auricular, lesser occipital, transverse cervical, and suprascapular nerves) that provide sensory innervation to the skin and superficial structures of the anterolateral neck and sections of the ear and shoulder.
Interventions
DIAGNOSTIC_TESTpain assessment after clavicular fracture repair
This group includes (40) patients will have medial and lateral clavipectoral (CPB) block ultrasound guided using 20 ml Bupivacaine 0.5% for medial and lateral block equally after induction of general anesthesia.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
21 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age from 21 to 60 years 2. Both gender 3. Isolated fracture clavicle. 4. ASA classification 1 & 2
Exclusion criteria
1. Polytrauma patients with multiple fractures. 2. Hemodynamically unstable patients. 3. Patients with infection at the injection site. 4. Refusal of patients. 5. Patients with disturbed anatomical plane. 6. Patients with a known history of allergy to local anesthetic will be used.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual analogue score (VAS score) post operative | starting at the recovery room then every 2 hours for 8 hours post operatively | change in visual analogue score (VAS score) to assess pain post operative described as 10= the sever pain and zero = no pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemodynamics | every 2 hours for 8 hours | Heart rate |
Countries
Egypt
Outcome results
None listed