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Regional Anaesthesia in Clavicle Surgery
1Department of Anaesthesiology and Intensive Care, Kathmandu Medical College, Nepal.
JNMA; Journal of the Nepal Medical Association
|July 27, 2017
Summary
Regional anesthesia using a combined superficial cervical plexus and interscalene brachial plexus block offers a safe and effective alternative to general anesthesia for clavicle fracture surgery, avoiding adverse effects.
Area of Science:
- Anesthesiology
- Orthopedic Surgery
Background:
- Regional anesthesia is underutilized for clavicle fracture repair compared to general anesthesia.
- General anesthesia carries potential adverse effects that may be undesirable in some patients.
Observation:
- Two cases of clavicle fracture treated surgically under a combined superficial cervical plexus and interscalene brachial plexus block are presented.
- The blocks were performed using a combination of ropivacaine and dexmedetomidine.
Findings:
- Both patients experienced significant comfort during the procedure.
- Neither patient required additional analgesics post-operatively.
Implications:
- This combined regional anesthesia technique can be a valuable option for clavicle fracture surgery.
- It provides a viable alternative to general anesthesia, potentially mitigating associated risks and side effects.
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