Regional anesthesia for clavicle fracture surgery is safe and effective.

Journal of Shoulder and Elbow Surgery
Devon J RyanKenneth A Egol

Abstract

Historically, clavicle fracture repairs have been performed with patients under general anesthesia. However, in the past few years, the combination of an interscalene brachial plexus block and a modified superficial cervical plexus block has been described to provide adequate anesthesia for clavicle fracture surgery, with the added benefit of postoperative analgesia. In March 2013, members of our anesthesiology department began using this block with sedation for a subset of patients undergoing clavicle fracture fixation. This study was a retrospective review of patients who underwent clavicle fracture repair at a single institution between June 2014 and November 2017. The decision on the type of anesthesia (regional vs. general) was made jointly by the patient, anesthesiologist, and surgeon. Demographic data, relevant perioperative times, and intraoperative pain medication consumption were recorded, and comparisons of these variables were made between the regional and general anesthesia groups. A total of 110 patients with 110 fractures were included. Of these patients, 52 received only regional anesthesia with the combined block whereas 58 received general anesthesia with an interscalene brachial plexus block. No major anesthe...Continue Reading

References

Dec 5, 1998·Journal of Orthopaedic Trauma·A NordqvistI Redlund-Johnell
May 24, 2000·British Journal of Anaesthesia·S C UrwinR Griffiths
Feb 3, 2009·The Journal of Bone and Joint Surgery. American Volume·L A Kashif KhanC Michael Robinson
Feb 4, 2010·The Journal of Bone and Joint Surgery. American Volume·Charles JordanKenneth A Egol
Mar 2, 2012·Journal of Orthopaedic Trauma·Kenneth A EgolNader Paksima
Dec 28, 2012·The Journal of Bone and Joint Surgery. American Volume·Andrew J PugelyJohn J Callaghan
Oct 8, 2013·Clinics in Plastic Surgery·Michelle Harris, Frances Chung
Oct 15, 2013·Regional Anesthesia and Pain Medicine·De Q H TranAndrea P González
Apr 22, 2014·Regional Anesthesia and Pain Medicine·Derek DillaneKristen Gadbois
Dec 24, 2016·Journal of Orthopaedic Trauma·Arthur ManoliKenneth A Egol

❮ Previous
Next ❯

Citations

Jul 5, 2021·The American Journal of Emergency Medicine·Mark Serpico, Spencer Tomberg
Aug 20, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Connor P LittlefieldKenneth A Egol

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.