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Background and Aims The hospital serves as the center for orthopedic cases in the country and is in constant pursuit of means to safely and efficiently cater to large volume of surgeries on a daily basis. Clavicle surgery has always been performed under general anesthesia in the institution. This is often associated with longer turnaround time, moderate to severe post op pain, increased opioid consumption and prolonged stay in the recovery room. Recent advances in the center have enabled clavicle surgeries to be executed solely under interscalene and superficial cervical plexus blocks (ISB+SCPB). This retrospective study presents the outcome of the technique done in a tertiary orthopedic hospital.

Methods Upon approval of Institutional Ethics Review Board, chart of patients who underwent clavicle surgery from 2021-2023 were reviewed. Forty two patients received ISB+SCPB as sole anesthetic for open reduction, internal fixation (ORIF) of clavicle. Outcomes were described.

Results Vital signs of patients were all stable pre-, intra- and postoperatively. No adverse outcomes were reported. Mean duration of sensory and motor block was 19 and 17.42 hours respectively. No patient required rescue opioid dose for severe pain in the 1st 24 hours.

Conclusions Interscalene and superficial cervical plexus blocks provided adequate anesthesia and enhanced postoperative outcome. The combined techniques may be considered as alternative to general anesthesia for clavicle surgeries. Larger prospective studies are recommended.