Cargando…

Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial

BACKGROUND: Clavicular fractures are commonly encountered in daily practice, and most cases are operated under general surgery. Until now, there has been a debate about the best approach to manage pain in such cases. OBJECTIVES: We aimed to evaluate whether ultrasound-guided clavipectoral block [cla...

Descripción completa

Detalles Bibliográficos
Autores principales: Abu Sabaa, Motaz Amr, Elbadry, Amr Arafa, El Malla, Dina Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Briefland 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995874/
https://www.ncbi.nlm.nih.gov/pubmed/35433386
http://dx.doi.org/10.5812/aapm.121267
_version_ 1784684376874811392
author Abu Sabaa, Motaz Amr
Elbadry, Amr Arafa
El Malla, Dina Ahmed
author_facet Abu Sabaa, Motaz Amr
Elbadry, Amr Arafa
El Malla, Dina Ahmed
author_sort Abu Sabaa, Motaz Amr
collection PubMed
description BACKGROUND: Clavicular fractures are commonly encountered in daily practice, and most cases are operated under general surgery. Until now, there has been a debate about the best approach to manage pain in such cases. OBJECTIVES: We aimed to evaluate whether ultrasound-guided clavipectoral block [clavipectoral fascial plane block (CPB)] would be safe and effective in cases with clavicular fractures. METHODS: This prospective randomized study included a total of 40 patients with clavicular fractures; they were divided into 2 groups. Group 1 included 20 cases who underwent CPB, and group 2 included 20 cases who underwent placebo block. Pain score, duration of analgesia, total analgesic consumption, and procedure-related complications were noted and recorded. RESULTS: Despite the comparable demographic data between the 2 groups, pain scores were significantly lower in group 1 than in group 2, starting from postanesthesia care unit (PACU) admission until 12 hours after the operation. Group 1 showed a significant reduction in 24-hour opioid consumption and significant prolongation of the duration of analgesia compared to the placebo. Patient satisfaction was significantly better in group 1 than in group 2. No block-related adverse events were recorded. CONCLUSIONS: CPB is a safe and effective regional technique that should be used for pain management after clavicular fixation surgery.
format Online
Article
Text
id pubmed-8995874
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Briefland
record_format MEDLINE/PubMed
spelling pubmed-89958742022-04-15 Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial Abu Sabaa, Motaz Amr Elbadry, Amr Arafa El Malla, Dina Ahmed Anesth Pain Med Research Article BACKGROUND: Clavicular fractures are commonly encountered in daily practice, and most cases are operated under general surgery. Until now, there has been a debate about the best approach to manage pain in such cases. OBJECTIVES: We aimed to evaluate whether ultrasound-guided clavipectoral block [clavipectoral fascial plane block (CPB)] would be safe and effective in cases with clavicular fractures. METHODS: This prospective randomized study included a total of 40 patients with clavicular fractures; they were divided into 2 groups. Group 1 included 20 cases who underwent CPB, and group 2 included 20 cases who underwent placebo block. Pain score, duration of analgesia, total analgesic consumption, and procedure-related complications were noted and recorded. RESULTS: Despite the comparable demographic data between the 2 groups, pain scores were significantly lower in group 1 than in group 2, starting from postanesthesia care unit (PACU) admission until 12 hours after the operation. Group 1 showed a significant reduction in 24-hour opioid consumption and significant prolongation of the duration of analgesia compared to the placebo. Patient satisfaction was significantly better in group 1 than in group 2. No block-related adverse events were recorded. CONCLUSIONS: CPB is a safe and effective regional technique that should be used for pain management after clavicular fixation surgery. Briefland 2022-03-08 /pmc/articles/PMC8995874/ /pubmed/35433386 http://dx.doi.org/10.5812/aapm.121267 Text en Copyright © 2022, Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Abu Sabaa, Motaz Amr
Elbadry, Amr Arafa
El Malla, Dina Ahmed
Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title_full Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title_fullStr Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title_full_unstemmed Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title_short Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial
title_sort ultrasound-guided clavipectoral block for postoperative analgesia of clavicular surgery: a prospective randomized trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8995874/
https://www.ncbi.nlm.nih.gov/pubmed/35433386
http://dx.doi.org/10.5812/aapm.121267
work_keys_str_mv AT abusabaamotazamr ultrasoundguidedclavipectoralblockforpostoperativeanalgesiaofclavicularsurgeryaprospectiverandomizedtrial
AT elbadryamrarafa ultrasoundguidedclavipectoralblockforpostoperativeanalgesiaofclavicularsurgeryaprospectiverandomizedtrial
AT elmalladinaahmed ultrasoundguidedclavipectoralblockforpostoperativeanalgesiaofclavicularsurgeryaprospectiverandomizedtrial