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The clavicle is frequently fractured bone. regional anesthesia (RA) for clavicle surgery is always challenging due t complex innervation from the two plexuses (cervical and brachial). various RA techniques described for clavicle surgery include plexus blocks, fascial plane blocks,and truncal blocks.
Clavipectoral Fascial Plane Block (CPB) is most commonly used as an anesthesia and postoperative analgesia technique to clavicle surgery.
This study is deigned to evaluate the feasibility of wide awake local anesthesia no tourniquet (WALANT) technique as a sole anesthesia in clavicle surgery, clavipectoral (CVP) fascia plane block + superficial cervical plexus plane block (CPB) as a sole anesthesia technique in clavicle surgery by using intraoperative verbal rating score (VRS) to determine how many patients need analgesia, sedation or convert to general anesthesia (GA), and postoperative assessment of patient satisfaction and 24 hour postoperative opioid consumption.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WALLANT (group 1) | Active Comparator | wide awake local anesthesia and no tourniquet (WALLANT) |
|
| CPB (group 2) | Active Comparator | clavipectoral fascia plane block combined with superficial cervical plexus block (CPB) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WALLANT | Procedure | Comparison between (WALLANT) and (CPB) as a sole anesthesia in clavicle surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| efficacy of the block as a sole anesthetic technique | intra-operative verbal rating score to determine how many patients need supplementary analgesia,sedation or converted to general anesthesia | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| 24 hour postoperative opioid consumption | Post-operative hourly VAS for the first 6 hours, at 8 hours, at 12 hours, at 16 hours,then at 24 hours postoperative | 6 months |
| patient satisfaction | patient satisfaction score immediately postoperative on hospital discharge and after 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ismail M Ahmed, Prof | Contact | 00201117310053 | ismailabdelgawad.623@azhar.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Azhar University | Recruiting | Cairo | Naser City | 11811 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35061634 | Background | Zhuo Q, Zheng Y, Hu Z, Xiong J, Wu Y, Zheng Y, Wang L. Ultrasound-Guided Clavipectoral Fascial Plane Block With Intermediate Cervical Plexus Block for Midshaft Clavicular Surgery: A Prospective Randomized Controlled Trial. Anesth Analg. 2022 Sep 1;135(3):633-640. doi: 10.1213/ANE.0000000000005911. Epub 2022 Jan 21. | |
| 36011144 | Background |
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IPD are planned to be coded for privacy protection
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2 Arms model
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The patient and the anesthiologist who perform postoperative pain will not know the group.
| 6 months |
| Lee CCM, Beh ZY, Lua CB, Peng K, Fathil SM, Hou JD, Lin JA. Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1-A Scoping Review. Healthcare (Basel). 2022 Aug 7;10(8):1487. doi: 10.3390/healthcare10081487. |
| 35124948 | Background | Azizi K, Benhamza S, Motiaa Y. Novel use of ultrasound guidance in wide-awake local anesthesia technique for clavicle surgery. Korean J Anesthesiol. 2022 Feb;75(1):103-105. doi: 10.4097/kja.21282. Epub 2021 Jun 30. No abstract available. |