SPSIPB and CPB on Clavicle Surgeries

Postoperative Analgesic Efficacy of Clavipectoral Plan Block and Serratus Posterior Superior Intercostal Plane Block Combination in Clavicle Surgeries: A Report of Five Cases

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06269562

Enrollment

Registered

2024-02-21

Start date

2023-06-20

Completion date

2024-02-04

Last updated

2024-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Analgesia, Clavicle Fracture, Postoperative Pain

Keywords

serratus posterior superior intercostal plane block, clavipectoral plane block, clavicle fracture, pain management

Brief summary

Clavicular fractures represent a common occurrence often necessitating effective pain management strategies, particularly following surgical interventions. This study involved a cohort of five patients who underwent clavicular fracture surgery under general anesthesia. A novel analgesic approach combining two distinct nerve block techniques-Serratus Posterior Superior Intercostal Plane Block (SPSIPB) and Clavipectoral Plane Block (CPB)-was employed for postoperative pain control. The procedural methodology encompassed the administration of SPSIPB preceding anesthesia induction, followed by CPB subsequent to induction. SPSIPB targeted specific neural regions responsible for sensory blockade within the innervation of the clavicular skin, whereas CPB focused on the clavipectoral fascia. Standard anesthesia protocols were utilized, and postoperative pain levels were evaluated using Numeric Rating Scores (NRS).

Interventions

PROCEDURESerratus posterior superior intercostal plane block and clavipectoral plane block

The analgesic effectiveness achieved by the concurrent application of these two techniques was investigated.

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion criteria

* Five American Society of Anesthesiologists (ASA) Ⅰ-II- III patients scheduled for clavicle surgery will be included in the study

Exclusion criteria

* patients with bleeding disorders * patients with signs of infection in the block application area * patients with unstable haemodynamics * patients with thyroid cardiovascular, renal, hepatic and neuropsychiatric diseases * patients with vascular disease, * patients with respiratory distress * patients whose consent for the study could not be obtained or who did not accept to participate in the study

Design outcomes

Primary

Measure	Time frame	Description
Numerical Rating Scale	24 hours after the procedure	0=no pain , 10= the worst pain

Secondary

Measure	Time frame	Description
tramadol consumption	24 hours after the procedure	total tramadol consumption of patients

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026