Ultrasound-Guided Combined Interscalene-Cervical Plexus Block for Surgical Anesthesia in Clavicular Fractures: A Retrospective Observational Study

Abstract EN

Objective.

We aim to report our experiences regarding the implementation of the ultrasound-guided combined interscalene-cervical plexus block (CISCB) technique as a sole anesthesia method in clavicular fracture repair surgery.

Materials and Methods.

Charts of patients, who underwent clavicular fracture surgery through this technique, were reviewed retrospectively.

We used an in-plane ultrasound-guided single-insertion, double-injection combined interscalene-cervical plexus block technique.

During the performance of each block, the block areas were visualized by using a linear transducer, and the needles were advanced by using the in-plane technique.

Block success and complication rates were evaluated.

Results and Discussion.

12 patients underwent clavicular fracture surgery.

Surgical regional anesthesia was achieved in 100% of blocks.

None of the patients necessitated conversion to general anesthesia during surgery.

There were no occurrences of acute complications.

Conclusions.

The ultrasound-guided combined interscalene-cervical plexus block was a successful and effective regional anesthesia method in clavicular fracture repair.

Prospective comparative studies would report the superiority of the regional technique over general anesthesia.