Abstract

Fractures of the clavicle are common usually following trauma. Surgical fixation of clavicular fractures has been traditionally performed under General Anaesthesia (GA). Although GA has several benefits but also carries associated risks. Ultrasound-guided techniques have enabled the anaesthetists to reduce doses of local anaesthetic drugs and perform more successful blocks. In this case report we have explored use of only interscalene approach to brachial plexus block as surgical anaesthesia and analgesia in clavicle fracture. Case description: A 39-year-old male patient, had a closed complete displaced fracture in the middle third shaft of the left clavicle due to a history of trauma. The interscalene block was performed under ultrasound guidance. A local anaesthetic drug was administered for interscalene block. Distribution of the local anaesthetic drug was visualized during the procedure. Motor blockade and sensory blockade was assessed. The patient underwent open reduction and internal fixation (ORIF) of the left clavicle. During intraoperative and postoperative period no intravenous analgesics were used. Patient was monitored for few hours in post-operative room and was sent home the day after the surgery, with oral medications (non-steroidal anti-inflammatory drug with an opioid). CONCLUSION: Our limited experience suggests that the interscalene block is possible as a sole anaesthesia method in patients who undergo clavicular fracture surgery. In this case study, regional anaesthesia was successful.

Description