Abstract
The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. While the cutaneous innervation of the skin above the clavicle is well-known to be supplied by the supraclavicular nerve of the superficial cervical plexus (SCP), the sensory innervation of the clavicle itself is somewhat controversial. Despite this controversy, it has been hypothesized that the CPB is an effective regional anesthesia technique for peri-operative analgesia since the terminal branches of many of the sensory nerves like suprascapular, subclavian, lateral pectoral, and long thoracic nerves pass through the plane between the clavipectoral fascia and the clavicle itself.
Highlights
Clavicle fractures account for 2.6% of all fractures and are frequently encountered in both the emergency department and operating room settings [1]
The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgeries
Symposia 01: Postoperative Analgesia for Orthopedic Upper and Lower Limb Surgery: Symposium conducted at the 36th Annual European Society of Regional Anaesthesia and Pain Therapy (ESRA) Congress, Lugano, Switzerland; September 13-16] Since this initial report, a handful of additional case reports have been published that support the efficacy of this block for clavicular surgery [2,3,4,5]
Summary
The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgeries. While multiple case reports support the use of these techniques [7,8,9], it can be time-consuming to perform two separate ultrasound-guided injections, and brachial plexus blocks have their own known set of adverse events. It is hypothesized that the CPB provides pain relief by blocking many of the above nerves as their terminal branches pass through the plane between the clavipectoral fascia and the clavicle itself This case series adds to the growing amount of evidence supporting the CPB through its description of three patients, including one adolescent, who received preoperative CPB for clavicular surgery. ***Unable to obtain as the pediatric patient’s guardians participated in phone calls
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