The clavicle is frequently fractured bone. regional anesthesia (RA) for clavicle surgery is always challenging due t complex innervation from the two plexuses (cervical and brachial). various RA techniques described for clavicle surgery include plexus blocks, fascial plane blocks,and truncal blocks.
Clavipectoral Fascial Plane Block (CPB) is most commonly used as an anesthesia and postoperative analgesia technique to clavicle surgery. This study is deigned to evaluate the feasibility of wide awake local anesthesia no tourniquet (WALANT) technique as a sole anesthesia in clavicle surgery, clavipectoral (CVP) fascia plane block + superficial cervical plexus plane block (CPB) as a sole anesthesia technique in clavicle surgery by using intraoperative verbal rating score (VRS) to determine how many patients need analgesia, sedation or convert to general anesthesia (GA), and postoperative assessment of patient satisfaction and 24 hour postoperative opioid consumption.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
42
Comparison between (WALLANT) and (CPB) as a sole anesthesia in clavicle surgery
Al Azhar University
Cairo, Naser City, Egypt
RECRUITINGefficacy of the block as a sole anesthetic technique
intra-operative verbal rating score to determine how many patients need supplementary analgesia,sedation or converted to general anesthesia
Time frame: 6 months
24 hour postoperative opioid consumption
Post-operative hourly VAS for the first 6 hours, at 8 hours, at 12 hours, at 16 hours,then at 24 hours postoperative
Time frame: 6 months
patient satisfaction
patient satisfaction score immediately postoperative on hospital discharge and after 24 hours
Time frame: 6 months
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