RETRACTED: Clavipectoral fascial plane block in a patient with dual antiplatelet therapy undergoing emergent clavicular surgery

Ueshima, Hironobu; Ishihara, Taiga; Hosokawa, Maiko; Okumura, Hiroshi

doi:10.1016/j.jclinane.2019.109648

Cited by 10 publications

(9 citation statements)

References 2 publications

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“…Kukreja et al further highlighted the motor-sparing and phrenic-sparing effects as added benefits of this more distal block [ 14 ]. Similar observations were appreciated by Ueshima et al for lateral end clavicle fracture [ 16 ]. Magalhães et al noticed good analgesia with CPB when used as an adjunct to GA in clavicle surgery [ 27 ].…”

Section: Case Presentationsupporting

confidence: 88%

“…Similar observations were appreciated by Ueshima et al for lateral end clavicle fracture [16]. Magalhães et al noticed good analgesia with CPB when used as an adjunct to GA in clavicle surgery [27].…”

Section: Review Of Literaturesupporting

confidence: 71%

“…Although CPB is administered under ultrasound guidance, it can be given using landmark guidance with equianalgesic efficacy. Since this case report, a handful of additional case reports demonstrated and supported the effectiveness of CPB for clavicle surgery [15][16][17][18]. This case report is the first of its kind to document a single-stage awake bilateral clavicle surgery performed under bilateral CPB alone, using ultrasound and landmark guidance separately, with equivocal results.…”

Section: Introductionmentioning

confidence: 72%

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Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Sonawane¹,

Dharmapuri²,

Saxena³

et al. 2021

Cureus

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The clavicle is a frequently fractured bone with an infrequent bilateral occurrence. Regional anesthesia (RA) for clavicle surgeries is always challenging due to its complex innervation arising from the two plexuses (cervical and brachial). Various RA techniques described for clavicle surgeries include plexus blocks, fascial plane blocks, and truncal blocks. Plexus blocks are associated with undesirable effects, such as phrenic nerve blockade and paralysis of the entire upper limb, limiting their application for bilateral regional clavicle surgeries. The clavipectoral fascial plane block (CPB) is a novel, procedure-specific, phrenic-sparing, and motor-sparing RA technique that can provide anesthesia or analgesia for clavicle surgeries. The decision to use the CPB and/or other RA techniques may depend on the site of clavicle injury or variations in clavicular innervation.We report a case of single-stage bilateral clavicle surgery successfully managed with a bilateral CPB alone using ultrasound guidance and landmark guidance separately. The patient was kept awake and comfortable throughout the surgery.In conclusion, CPB can be an effective alternate RA technique in avoiding undesired side effects of more proximal techniques such as phrenic nerve involvement and motor blockade of upper limbs. Landmarkguided CPB can be an alternative with equianalgesic efficacy as of ultrasound-guided CPB in resource-poor or emergency settings.

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Section: Case Presentationsupporting

confidence: 88%

Section: Review Of Literaturesupporting

confidence: 71%

Section: Introductionmentioning

confidence: 72%

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Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Sonawane¹,

Dharmapuri²,

Saxena³

et al. 2021

Cureus

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“…Analgesia for Clavicular Surgery/Fractures. 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][14][15][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].…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-Guided Clavipectoral Fascial Plane Block for Surgery Involving the Clavicle: A Case Series

Kukreja

Davis

MacBeth

et al. 2020

Cureus

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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.

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“…Open J Orthop Rheumatol 6(1): 019-029. DOI: https://dx.doi.org/10.17352/ojor.000034 combined ISB with superficial cervical plexus block [3], cervical plexus block [4], a combination of supraclavicular nerve and upper (superior) trunk (SCUT) block [5], a combination of a pectoral nerve (PEC) I block with selective supraclavicular nerve block [6], modified PEC II block [7] and Clavipectoral Fascial Plane Block [8][9][10][11] (CPB). We present a comprehensive review of the clavicle anatomy, its innervation, and different RA techniques used for clavicle surgeries.…”

Section: Introductionmentioning

confidence: 99%

ticle Uncovering secrets of the beauty bone: A comprehensive review of anatomy and regional anesthesia techniques of clavicle surgeries

Sonawane¹,

Dixit²,

Balavenkatasubramanian³

et al. 2021

Open J Orthop Rheumatol

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The clavicle is the most frequently fractured bone in humans. General anesthesia with or without Regional Anesthesia (RA) is most frequently used for clavicle surgeries due to its complex innervation. Many RA techniques, alone or in combination, have been used for clavicle surgeries. These include interscalene block, cervical plexus (superficial and deep) blocks, SCUT (supraclavicular nerve + selective upper trunk) block, and pectoral nerve blocks (PEC I and PEC II). The clavipectoral fascial plane block is also a safe and simple option and replaces most other RA techniques due to its lack of side effects like phrenic nerve palsy or motor block of the upper limb. We present a comprehensive review of anatomy and RA techniques of clavicle surgeries. This review will help readers understand the functional anatomy and nature of clavicle fractures, and apply an algorithmic approach to procedure-specific blocks for complexly innervated structures like clavicle.

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RETRACTED: Clavipectoral fascial plane block in a patient with dual antiplatelet therapy undergoing emergent clavicular surgery

Cited by 10 publications

References 2 publications

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Awake Single-Stage Bilateral Clavicle Surgeries Under a Bilateral Clavipectoral Fascial Plane Block: A Case Report and Review of Literature

Ultrasound-Guided Clavipectoral Fascial Plane Block for Surgery Involving the Clavicle: A Case Series

ticle Uncovering secrets of the beauty bone: A comprehensive review of anatomy and regional anesthesia techniques of clavicle surgeries

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