{
  "abstract": "Background and Aims Clavipectoral fascial-plane block(CPB) is a new regional anaesthesia(RA) technique for clavicle surgeries(CS). Combined with superficial cervical plexus block (SCPB), it obviates need for general anaesthesia(GA), prevents complications of interscalene nerve-block. We aim to assess efficiency of CPB+SCPB as sole RA for CSMethods 8 patients, May 2022- April 2024. 8 ml Ropivacaine(0.5%) with 25 mcg Dexmedetomidine injected on either side of fracture for CPB. SCPB given on same side with 5 ml Ropivacaine(0.5%). Sensory-blockade assessed with pin-prick and touch, graded as 0-normal, 1-decreased, 2-no sensation. Sensation checked at incision site every 5 minutes for 30 minutes. Inadequate sensory response after 30 min, or patient complaint of discomfort/pain, GA was administered. Ramsay sedation score(RSS) noted every 10 minutes, throughout surgery. Numerical Rating Scale(NRS) on 1st,3rd,6th,12th and 24 hrs. Diclofenac 75 mg intravenous used as post-operative analgesia, 6th hourly. If NRS=4 or above, Fentanyl 50 microgram used as rescue analgesia. Time to discharge from hospital noted.Results Mean age=37+/-8.96 years. Mean BMI=26 +/-1.76. Mean duration of surgery=82.5 +/- 10.35 minutes. Mean onset of action(4 successful cases) was 21.66 +/- 2.58 minutes. RSS= 2 in cases done under block and could not be assessed in cases which were converted to GA. NRS score < 4 in 7 out of 8 cases. In one case, NRS was 6 during 8th post operative hour. Mean time to discharge=17.25 +/- 4.89 hours.Conclusions CPB with SCPB is a motor-sparing, phrenic-nerve sparing block for mid-clavicle surgeries. In appropriately selected patients, it can be sole anaesthetic agent, avoiding GA and complications. It also provides good analgesia and decreases duration of hospital stay.",
  "authors": [
    {
      "affiliations": [
        "Subbaiah Research Institute, Shivamogga, India"
      ],
      "name": "Swathi Vandagadde Chandramouly"
    },
    {
      "affiliations": [
        "Professor, Anaesthesiology, Subbaiah Research Institute, Shivamogga, India"
      ],
      "name": "Shivakumar MC"
    }
  ],
  "title": "EP152 Combined ultrasound guided clavipectoral fascial plane block and superficial cervical plexus block for clavicle surgeries",
  "uid": "bfa48314-8926-5d72-8fee-58836deed2af"
}