Optimizing Local Anesthetic Technique for Clavicular Surgeries: Issues Should Be Noticed

In Response

“…Last, we are in complete agreement with Professor Xue et al 1 that the supplemental of parameters concerning postoperative analgesia provided by clavipectoral fascial plane block would increase the clinical significance of our study. Luckily, a relevant randomized controlled trial study (“The Effectiveness of Clavipectoral Fascia Plane Block for Clavicle Surgery,” registered with ClinicalTrials.gov, identifier: NCT05268874) is now recruiting participants, and we hope their results could optimize our study.…”

“…Commonly, a total volume of 15 to 20 mL local anesthetic is required to achieve adequate surgical anesthesia for interscalene brachial plexus block, and an extremely low volume frequently leads to incomplete surgical anesthesia and inadequate analgesia in clinical settings. 3 A conventional volume of 20 mL local anesthetic was, therefore, administered to ensure surgical anesthesia for clavicular surgery in our study, but, as Xue et al 1 suggested, supplemental of selective nerve structure block, as an alternative to traditional interscalene block, to cervical plexus block for clavicular surgery might be clinically meaningful in reducing diaphragmatic paralysis.…”

“…We thank Professor Xue et al 1 for their letter in which they discuss the optimizing local anesthetic technique for clavicular surgeries, and their suggestive comments to improve our study 2 are highly appreciated.…”