Background and aims Costoclavicular approach have lots of advantages compared to the lateral sagittal approach for infraclavicular brachial plexus block. Although the efficacy of this block has been demonstrated in adults, there are no randomized controlled trial in the literature on the application of pediatric patients. Our aim was to compare the efficacy of ultrasound-guided infraclavicular and costoclavicular approach in pediatric patients.

Methods In this preliminary study; after ethical board approval 30 patients aged between 5–15 years who were undergoing hand or forearm surgery were included in the study. Patients were randomly divided into two groups (Group LS and Group C). Patients were given 0.1 mg/kg midazolam IV and, 1 mg/kg bolus, 25–50 mcg/kg/min propofol infusion was started. All blocks were applied with the same block solution. (1:1 ratio,2% lidocaine and 0.5% bupivacaine). Postoperative motor and sensory block durations and postoperative 24 hour pain scores were recorded.

Results There was no difference in demographic data, duration of surgery and anesthesia between the groups (p> 0.05). There were no significant differences between the groups in pain scores at postoperative 1. 2. 4. 8. 12. 24 hours and there were no significant differences between the groups on motor block and sensory block duration(p>0.05).

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Abstract ESRA19-0558 Figure 1

Conclusions We found that the infraclavicular and costoclavicular brachial plexus block had similar motor and sensory block duration in hand and forearm surgery in pediatric patients. In addition, the effect of costoclavicular and infraclavicular block on postoperative pain scores was similar.