Pediatric anesthesia & critical care
Ultrasound guided costoclavicular block in pediatric population: A prospective observational study
Authors' conclusion
In conclusion, the costoclavicular block exhibited a notably high success rate in pediatric population.
Study context
- Population
- Children aged 2–12 years scheduled for unilateral below elbow upper limb surgery under GA
- Participants
- 30 children
- Outcome
- Block success (absence of significant hemodynamic response to skin incision 20 min after the block)
Main finding
As reported in the abstract
Success rate
Costoclavicular block
100%
Observational data: associations, not effects.
Further findings
Sonographic visualization graded excellent (Likert Scale 2)
- Cases with excellent sonographic visualization
- 90%
Plexus depth from skin
- Depth of plexus from skin, cm
- 1.4 ± 0.3 cm
Lateral extent of cords from artery
- Lateral extent of cords from artery (cords inferior and lateral to artery)
- 0.8 ± 0.4 cm
Needling time
- Mean needling time
- 3.6 ± 1.1 min
Postoperative pain and rescue analgesia
- Postoperative pain scores low; no rescue analgesia required
Safety
Complications (vascular or pleural puncture, hematoma, Horner's syndrome, diaphragmatic palsy)
- No children experienced complications
Original publication
Ultrasound guided costoclavicular block in pediatric population: A prospective observational study. Paediatr Anaesth. Published 4 April 2024. doi:10. 1111/ pan. 14889
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