Clinic of Anesthesiology and Reanimation, Palandöken State Hospital, Erzurum, Turkey.
Department of Anesthesiology and Reanimation, Medical Faculty of Namık Kemal University, Tekirdağ, Turkey.
Korean J Anesthesiol. 2020 Feb;73(1):67-70. doi: 10.4097/kja.d.18.00296. Epub 2018 Nov 27.
Clavicle fractures occur in 35% of shoulder girdle fractures. Surgical fixation is preferred, especially in young patients for optimal functional outcomes, while nondisplaced fractures are usually treated conservatively.
A 38-year-old male patient was admitted to the emergency services with a fracture of the left clavicle following a fall. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular and superficial cervical plexus block was performed under ultrasound guidance without complications and the patient experienced no pain.
This technique may avoid possible complications related to interscalene brachial plexus block. Future studies are required to confirm the safety and efficacy of this approach.
锁骨骨折占肩部骨折的 35%。手术固定是首选方法，特别是对于年轻患者，以获得最佳的功能结果，而无移位骨折通常采用保守治疗。
一名 38 岁男性患者因跌倒导致左侧锁骨骨折，被送往急诊室。在术前评估时，患者要求在手术过程中保持清醒。在超声引导下进行锁骨上和颈浅丛联合阻滞，无并发症，患者无疼痛。
该技术可避免与肌间沟臂丛阻滞相关的可能并发症。需要进一步的研究来证实这种方法的安全性和有效性。
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