Abstract

Background: Clavicular fractures have always been managed through general anesthesia, however, thanks to the Clavipectoral Plane Block (CPB) introduced in 2017 by Valdes, it is possible to use a regional anesthesia technique which is widely gaining interest because of its safety. But is it effective?
Case: A 35-year-old man with history of drug addiction underwent surgery for a complex midshaft clavicular fracture. We performed clavipectoral plane block and superficial cervical plexus block combined with dexmedetomidine intravenous sedation. An in-plane technique was used to deposit 30mL of a local anesthetic mixture (15mL per side) between the clavipectoral fascia and periosteum on both the medial and lateral sides of the fracture line.
Conclusions: Excellent anesthesia and analgesia for up to 20 h post-block were provided by CPB during the clavicle surgery.

Keywords:Analgesia; Anesthesia; Clavicle; Local anesthesia; Nerve block