Abstract :
Background and Objectives: Effective management of intraoperative anaesthesia and postoperative analgesia is crucial for successful outcomes in clavicular fixation surgeries. The combination of Interscalene Brachial Plexus Block (ISBP) with Superficial Cervical Plexus Block (SCPB) has gained attention as a potential alternative to General Anaesthesia (GA) due to its efficacy and safety profile. This randomized controlled trial aimed to compare ISBP with SCPB (Group B) and GA (Group G) regarding intraoperative vitals, 24-hour analgesic requirements, and time for discharge from the Post-Anaesthesia Care Unit (PACU).
Methodology and Aims: This prospective randomized controlled trial included 60 patients classified of ASA category I, II, or III, aged 16–65 years, undergoing clavicular fixation surgery. The participants were randomly divided into two groups: Group B (ISBP with SCPB, n=30) and Group G (General Anesthesia, n=30). Ultrasound guidance was utilized for administering nerve blocks. Primary outcome measures included intraoperative vital parameters and 24-hour analgesic requirements. Secondary outcome measures included sensory and motor block characteristics, PACU discharge time, and any complications.
Results: Baseline characteristics (age, sex, ASA classification) showed no statistically significant differences between groups (p > 0.05). However, Group B demonstrated significantly better outcomes compared to Group G in terms of Mean Arterial Pressure (MAP), 24-hour opioid requirement, and time spent in PACU (p < 0>
Conclusion: Ultrasound-guided ISBP with SCPB provides an effective and safe alternative for intraoperative anaesthesia and postoperative analgesia in clavicular fixation surgeries, with superior outcomes compared to General Anaesthesia.
Keyword :
Clavicle fracture, General anaesthesia, Interscalene brachial plexus block, Superficial cervical plexus block.