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#36477 Clavipectoralis fascia block (CPB) combined with superficial cervical plexus block. 10 case series for clavicle fracture surgery
  1. Adrian Santos,
  2. Javier Nieto Muñoz,
  3. Maria Paz Fernandez Lara and
  4. Inmaculada Luque Mateos
  1. Anestesiology, Hospital Costa Del Sol, Marbella, Spain


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Application for ESRA Abstract Prizes: I apply as an Anesthesiologist (Aged 35 years old or less)

Background and Aims Clavicle fractures are a pathology with a relatively low incidence (2-3% of all fractures). Only a percentage of cases require surgical treatment. Among the different anaesthetic approaches, general anaesthesia associated with locoregional techniques is generally the gold standard. Classically, the regional block of choice has been the interscalene block. However, the development of ultrasound-guided peripheral blocks allows more interesting analgesic options, such as the clavipectoral fascia block described by anaesthesiologist Dr Luis Valdés in 2017.

Methods About 10 cases of clavicle fractures. Patients aged between 28 and 42 years, ASA I except for one ASA II patient due to type I obesity. All cases were scheduled surgeries for open osteosynthesis for acromioclavicular fracture-dislocation. Balanced general anaesthesia combined with CPB block at the mid-clavicular level along with ultrasound-guided superficial cervical plexus block was performed under standard monitoring and standard premedication.

Results No adverse effects or anaesthetic complications were reported. The dose administered was 15 ml bupivacaine 0.5% for CPB and 5 ml bupivacaine 0.5% for the superficial cervical plexus block.There was no evidence of motor block of the operated limb. Immediate postoperative VAS was 0 in all cases and no rescue analgesia was required in the first 24 hours, only the usual multimodal analgesia.

Abstract #36477 Figure 1


Conclusions CPB associated with superficial cervical plexus block is an effective analgesic alternative for clavicular surgery. It is a safe ultrasound-guided block, which makes it a valid alternative to multimodal intravenous analgesia. Further studies are needed to demonstrate the efficacy, advantages and complications associated with this locoregional technique.


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