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Korean J Anesthesiol > Epub ahead of print
DOI: https://doi.org/10.4097/kja.d.18.00296    [Epub ahead of print]
Published online November 27, 2018.
Combined supraclavicular-superficial cervical plexus block for clavicle surgery
Onur Baran1, Bünyamin Kır1, İrem Ateş1, Ayhan Şahin2, Ali Üztürk3
1Clinic of Anesthesiology and Reanimation, Palandöken State Hospital, Erzurum, Turkey
2Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal University, Tekirdağ, Turkey
3Clinic of Orthopedics and Traumatology, Palandöken State Hospital, Erzurum, Turkey
Corresponding author:  Onur Baran,
Email: dronurbaran@hotmail.com
Received: 16 October 2018   • Revised: 22 November 2018   • Accepted: 25 November 2018
Abstract
35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred especially for young patients for optimal functional outcomes while unresolved fractures are usually treated conservatively.
A 38-year-old male patient was admitted to the emergency service after falling resulting a left clavicle fracture. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular-superficial cervical plexus block was performed under ultrasound guidance and no complications and pain was seen.
This approach may be successful to avoid the possible complications related with interscalene brachial plexus block and more studies are needed in the near future.
Key Words: Clavicle; Nerve blockade; Ultrasound


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