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Ultrasound-guided, Combined Application of Selective Supraclavicular Nerve and Low-dose Interscalene Brachial Plexus Block in a High-risk Patient

Overview
Journal Hippokratia
Specialty General Medicine
Date 2020 Apr 8
PMID 32256035
Citations 2
Authors
V Ozen
Affiliations
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Abstract

Background: In recent years, interscalene brachial plexus block (ISB) and selective supraclavicular nerve block (SNB) have been associated with successful outcomes in the treatment of fractures of the clavicle while avoiding complications. Description of the case: A 67-year-old male sustained a fracture of his right clavicle following a fall. Regional anesthesia was favored for his treatment after obtaining informed consent as he would have been exposed to high risk if treated under general anesthesia due to his medical history of coronary artery disease and chronic obstructive pulmonary disease. Ultrasound-guided combined application of ISB and selective SNB were utilized with a low-dose local anesthetic without the occurrence of any intraoperative or postoperative complication.

Conclusion:  Low-dose ISB and selective SNB can be effectively and safely used for clavicular fracture treatment procedures, especially in patients who have a low pulmonary reserve.  HIPPOKRATIA 2019, 23(1): 25-27.

Citing Articles

Case Report and Preliminary Exploration: Protection of Supraclavicular Nerve Branches during Internal Fixation of Clavicular Fractures through Preoperative Ultrasound Localization.

Wang Y, Huang J, Li J, Zhou J, Zheng Q, Chen Z Front Surg. 2022; 9:898664.

PMID: 36034369 PMC: 9407241. DOI: 10.3389/fsurg.2022.898664.

Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1-A Scoping Review.

Lee C, Beh Z, Lua C, Peng K, Fathil S, Hou J Healthcare (Basel). 2022; 10(8).

PMID: 36011144 PMC: 9408139. DOI: 10.3390/healthcare10081487.

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