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The clavipectoral fascial plane block (cpb) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery Delivery consists of injecting a local anesthetic between the periosteum and clavipectoral fascia, which causes the anesthetic to surround the clavicle 3 the cpb is a simplified technique that can be easily integrated into clinical care by visualizing the deposition of anesthetic in the fascial plane around the clavicle
Ultrasound-guided clavipectoral fascial plane block for clavicle
3,4 while the cpb was first described in the perioperative setting, it may be even more impactful in. Cpb was conducted using a 20 ml solution comprising methylene. In this video we discuss the anatomy, sonoanatomy and technique for performing the clavipectoral fascial plane block
The clavipectoral fascial plane block (cfpb), initially described in clavicular surgery, involves the injection of a local anesthetic agent into the plane between the pectoralis major muscle and the clavipectoral fascia
By blocking terminal branches traversing this plane, it provides effective analgesia of the anterior chest wall while preserving major motor nerves and reducing the risk of. The clavipectoral fascia block (cpb), a novel technique, was first introduced by valdes in 2017[6] The clavipectoral fascia completely encases the clavicle, with the nerve endings of the clavicle penetrating this fascia[6] The clavipectoral fascia is a tough fascial sheet that fills the space between the clavicle and the pectoralis minor muscle and is deep into the clavicular head of the.
The combination of a cervical plexus block and interscalene brachial plexus block was previously regarded as the technique of choice for clavicle analgesia Since 2017, the clavipectoral fascia block began to emerge as a feasible technique while minimizing adverse effects. The clavipectoral fascial plane block (cfpb) that has been utilized for clavicle fracture surgeries and pain management is an emerging anesthetic technique This study aimed to investigate the distribution of the injected solution around the clavicle and the surrounding tissues
Twelve clavicle samples were acquired from six cadavers
Cpb was conducted using a 20 ml solution comprising. Clavicle fractures are common injuries in the emergency department (ed) Adequate pain control with oral or intravenous medications is the central aspect of treatment In this case series, we describe the first.
It has been previously used for postoperative pain management, but it can also be used as a. There are at least three randomized trials comparing clavipectoral fascia block against interscalene plexus block showing mixed results regarding analgesic quality and time to first rescue analgesia Interscalene brachial plexus block exhibits a higher incidence of hemidiaphragmatic paralysis and upper extremity block in all trials Latest and greatest love this simple and effective block
Generally need under 10ml of anesthetic
I split the anesthetic to both sides of the fracture line You can also just do one side if you are in a rush This should be standard in your process for clavicle fractures. Clavipectoral fascia block for clavicle surgery prof dr.ritesh roy 1.83k subscribers subscribe
36572+ manuscript submission, 9855+ research paper published, 100. The sensory nerves penetrate the clavipectoral fascia before supplying the clavicle, except for the supraclavicular nerve, which innervates the skin above the clavicle. Thus, clavipectoral fascial plane block, instead of interscalene brachial nerve block, was scheduled to prevent phrenic nerve paralysis Later, 15 ml of 0.375% levobupivacaine was administered to the fascia on both the medial and lateral sides of the clavicle fracture after the induction of general anesthesia with superficial cervical plexus block.
Methods twelve clavicle samples were acquired from six cadavers
