Pediatric anesthesia & critical care

Ultrasound guided costoclavicular block in pediatric population: A prospective observational study

Paediatr AnaesthPublished 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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