Costoclavicular block for distal radius open reduction and internal fixation
Interscalene and supraclavicular brachial plexus nerve blocks are routinely used for upper extremity surgeries, although they carry the risk of phrenic nerve involvement, which can lead to diaphragmatic paralysis. The costoclavicular block is a newer block that may mitigate the risk of this complica...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_354_24 |
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| _version_ | 1832087066604732416 |
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| author | Cassandra Williams Jibran Ikram Nicholas Swerchowsky Sabry Ayad |
| author_facet | Cassandra Williams Jibran Ikram Nicholas Swerchowsky Sabry Ayad |
| author_sort | Cassandra Williams |
| collection | DOAJ |
| description | Interscalene and supraclavicular brachial plexus nerve blocks are routinely used for upper extremity surgeries, although they carry the risk of phrenic nerve involvement, which can lead to diaphragmatic paralysis. The costoclavicular block is a newer block that may mitigate the risk of this complication while providing similar coverage. Our case involves a patient who presented with a displaced distal radius fracture. He received a preoperative single-shot costoclavicular nerve block before undergoing a distal radius open reduction and internal fixation. The patient did not require any opioids or other pain medications intraoperatively or postoperatively in the post-anesthesia care unit. This case supports the utility of using a costoclavicular nerve block for upper extremity surgeries. |
| format | Article |
| id | doaj-art-e2aa2434f9aa4dc4853d806710b1d7f7 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-e2aa2434f9aa4dc4853d806710b1d7f72025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-0119110510710.4103/sja.sja_354_24Costoclavicular block for distal radius open reduction and internal fixationCassandra WilliamsJibran IkramNicholas SwerchowskySabry AyadInterscalene and supraclavicular brachial plexus nerve blocks are routinely used for upper extremity surgeries, although they carry the risk of phrenic nerve involvement, which can lead to diaphragmatic paralysis. The costoclavicular block is a newer block that may mitigate the risk of this complication while providing similar coverage. Our case involves a patient who presented with a displaced distal radius fracture. He received a preoperative single-shot costoclavicular nerve block before undergoing a distal radius open reduction and internal fixation. The patient did not require any opioids or other pain medications intraoperatively or postoperatively in the post-anesthesia care unit. This case supports the utility of using a costoclavicular nerve block for upper extremity surgeries.https://journals.lww.com/10.4103/sja.sja_354_24costoclavicular nerve blockdistal radius fracturepain managementregional anesthesiaupper extremity surgery |
| spellingShingle | Cassandra Williams Jibran Ikram Nicholas Swerchowsky Sabry Ayad Costoclavicular block for distal radius open reduction and internal fixation Saudi Journal of Anaesthesia costoclavicular nerve block distal radius fracture pain management regional anesthesia upper extremity surgery |
| title | Costoclavicular block for distal radius open reduction and internal fixation |
| title_full | Costoclavicular block for distal radius open reduction and internal fixation |
| title_fullStr | Costoclavicular block for distal radius open reduction and internal fixation |
| title_full_unstemmed | Costoclavicular block for distal radius open reduction and internal fixation |
| title_short | Costoclavicular block for distal radius open reduction and internal fixation |
| title_sort | costoclavicular block for distal radius open reduction and internal fixation |
| topic | costoclavicular nerve block distal radius fracture pain management regional anesthesia upper extremity surgery |
| url | https://journals.lww.com/10.4103/sja.sja_354_24 |
| work_keys_str_mv | AT cassandrawilliams costoclavicularblockfordistalradiusopenreductionandinternalfixation AT jibranikram costoclavicularblockfordistalradiusopenreductionandinternalfixation AT nicholasswerchowsky costoclavicularblockfordistalradiusopenreductionandinternalfixation AT sabryayad costoclavicularblockfordistalradiusopenreductionandinternalfixation |