The effectiveness and safety of a novel ultrasound-guided clavipectoral plane block for midshaft clavicle surgeries – a case series

Abstract

Background: Clavipectoral plane block (CPB), a novel block first described in the 2017 European Society of Regional Anaesthesia Congress. Case: This study was a retrospective, descriptive, observational case series of seven patients with midshaft clavicle fractures. Two were given CPB; one under sedation and one under general anesthesia. Both had pain after Post-Anesthesia Care Unit (PACU) discharge up to 24 hours after surgery, but none required opioid medications post-operative. Among the five patients who had CPB with Superficial Cervical Plexus (SCP) block, four were under sedation and one under general anesthesia. All five patients had pain after PACU discharge up to 24 hours after surgery, and one patient previously under sedation had required opioid medication after PACU discharge. Conclusion: CPB with or without SCP block provided effective and safe anesthesia and analgesia to patients who underwent clavicle surgery under general anesthesia or intravenous sedation.