Ultrasound-guided superficial cervical plexus block combined with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery: a single-centre, double-blind, randomized controlled trial
Authors' conclusion
Ultrasound-guided superficial cervical plexus block combined with clavipectoral fascial plane block can be used for clavicular surgery. It has a long postoperative analgesia time, can retain the motor function of the involved upper limb and does not cause hemidiaphragmatic paresis.
Study context
- Population
- Patients undergoing internal fixation surgery for elective clavicle fractures
- Participants
- 50 patients
- Comparison
- Group I vs group II
- Group In = 25
- Group IIn = 25reference
- Primary endpoint
- Duration of analgesia
Methodological detailsdouble-blind, single-centre, ultrasound-guided
- Double-blind
- Single-centre
- Ultrasound-guided
Primary result
As reported in the abstract
- Duration of analgesia significantly longer in group I than group II
- Group I vs group II: P < 0.05
Further findings
| Outcome | P value |
|---|---|
| Modified Bromage scale function scoreLower in group II | P < 0.01 |
| VAS score · 24 hLower in group I | P < 0.05 |
Skin acupuncture pain score 30 min after block; Visual analog scale (VAS) at 6 and 12 h after surgery
- No significant difference
Safety
| Outcome | P value |
|---|---|
| Diaphragmatic paralysisIncidence significantly increased in group II | P < 0.01 |
Original publication
Ultrasound-guided superficial cervical plexus block combined with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery: a single-centre, double-blind, randomized controlled trial. J Clin Monit Comput. Published 10 January 2023. doi:10.
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