Cargando…
Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report
INTRODUCTION: Clavicle fractures are less commonly managed under regional anesthesia compared to general anesthesia. The study highlights the advantage of regional anesthesia in reducing the risk of aerosol generation and viral transmission during the times of COVID-19 and avoiding the complications...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875763/ https://www.ncbi.nlm.nih.gov/pubmed/35231744 http://dx.doi.org/10.1016/j.ijscr.2022.106855 |
_version_ | 1784658010447020032 |
---|---|
author | Khadka, Rima Lamichhane, Basanta Pandey, Dipendra Bista, Sachhyatkar Karki, Saurab Khadka, Manoj |
author_facet | Khadka, Rima Lamichhane, Basanta Pandey, Dipendra Bista, Sachhyatkar Karki, Saurab Khadka, Manoj |
author_sort | Khadka, Rima |
collection | PubMed |
description | INTRODUCTION: Clavicle fractures are less commonly managed under regional anesthesia compared to general anesthesia. The study highlights the advantage of regional anesthesia in reducing the risk of aerosol generation and viral transmission during the times of COVID-19 and avoiding the complications associated with general anesthesia. PRESENTATION OF CASE: We report a case of 42 years old COVID-19 positive male with a left clavicle fracture due to a fall from a tree, who was managed under regional anesthesia with open reduction and internal fixation. A combination of interscalene brachial plexus and superficial cervical plexus block was performed. DISCUSSION: The dual innervation of the clavicle makes combined interscalene brachial plexus and superficial cervical plexus block an effective method of anesthesia for clavicle surgery. It provides better analgesia, has fewer postoperative complications, less infection transmission via aerosol, and earlier hospital discharge as compared to general anesthesia. CONCLUSION: Ultrasound-guided combined interscalene brachial plexus and superficial cervical plexus block can be used as a safe anesthetic technique in clavicle surgery. |
format | Online Article Text |
id | pubmed-8875763 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88757632022-02-25 Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report Khadka, Rima Lamichhane, Basanta Pandey, Dipendra Bista, Sachhyatkar Karki, Saurab Khadka, Manoj Int J Surg Case Rep Case Report INTRODUCTION: Clavicle fractures are less commonly managed under regional anesthesia compared to general anesthesia. The study highlights the advantage of regional anesthesia in reducing the risk of aerosol generation and viral transmission during the times of COVID-19 and avoiding the complications associated with general anesthesia. PRESENTATION OF CASE: We report a case of 42 years old COVID-19 positive male with a left clavicle fracture due to a fall from a tree, who was managed under regional anesthesia with open reduction and internal fixation. A combination of interscalene brachial plexus and superficial cervical plexus block was performed. DISCUSSION: The dual innervation of the clavicle makes combined interscalene brachial plexus and superficial cervical plexus block an effective method of anesthesia for clavicle surgery. It provides better analgesia, has fewer postoperative complications, less infection transmission via aerosol, and earlier hospital discharge as compared to general anesthesia. CONCLUSION: Ultrasound-guided combined interscalene brachial plexus and superficial cervical plexus block can be used as a safe anesthetic technique in clavicle surgery. Elsevier 2022-02-25 /pmc/articles/PMC8875763/ /pubmed/35231744 http://dx.doi.org/10.1016/j.ijscr.2022.106855 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Khadka, Rima Lamichhane, Basanta Pandey, Dipendra Bista, Sachhyatkar Karki, Saurab Khadka, Manoj Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title | Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title_full | Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title_fullStr | Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title_full_unstemmed | Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title_short | Regional anesthesia as a safe anesthesia technique for clavicle surgery in a COVID-19 positive patient at rural setup: A case report |
title_sort | regional anesthesia as a safe anesthesia technique for clavicle surgery in a covid-19 positive patient at rural setup: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8875763/ https://www.ncbi.nlm.nih.gov/pubmed/35231744 http://dx.doi.org/10.1016/j.ijscr.2022.106855 |
work_keys_str_mv | AT khadkarima regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport AT lamichhanebasanta regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport AT pandeydipendra regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport AT bistasachhyatkar regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport AT karkisaurab regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport AT khadkamanoj regionalanesthesiaasasafeanesthesiatechniqueforclaviclesurgeryinacovid19positivepatientatruralsetupacasereport |