Regional anesthesia for clavicle surgery

Regional anesthesia for clavicle surgery:

*** Clavicle fracture without scapular fracture:

1- 1st choice: Clavipectoral fascia plane block + local subcutaneous periclavicular infiltration/ superficial cervical plexus block.

2- 2nd choice: SCUT (Selective superior trunk of Interscalene BP block) + Selective supraclavicular nerve block.

3- 3rd choice: Interscalene BP block + superficial cervical plexus block.

*** Clavicle fracture with scapular fracture:

1- 1st choice: Interscalene BP block + superficial cervical plexus block.

2- 2nd choice: Interscalene BP block + Selective supraclavicular nerve block.

For medial end-fracture surgery, an adding LA infiltration over medial end-periosteum and subcutaneous plane is needed.

Dr Vatana S. Sao