• Am J Emerg Med · Dec 2023

    Case Reports

    Clavipectoral plane block performed in the emergency department for analgesia after clavicular fractures: A case series.

    • Henry Ashworth, David Martin, Arun Nagdev, and Karen Lind.
    • Department of Emergency Medicine, Highland Hospital - Alameda Health System, Oakland, CA, United States of America. Electronic address: hcashwor@gmail.com.
    • Am J Emerg Med. 2023 Dec 1; 74: 197.e1197.e3197.e1-197.e3.

    AbstractClavicle fractures are common injuries in the Emergency Department (ED). Adequate pain control with oral or intravenous medications is the central aspect of treatment. The ultrasound-guided clavipectoral plane block (CPB), previously described in anesthesia literature, offers complete analgesia of the clavicle with a low adverse effect profile. In this case series, we describe the first reported utilization of the CPB for analgesia for acute clavicular fractures in the ED. We performed the CPB for distal and midshaft clavicular fractures on patients who suffered from a variety of traumatic accidents including bicycle accidents, motorcycle accidents, and motor vehicle accidents. All patients experienced significant reductions in their reported pain without any reported complications. Given the need to provide patients with appropriate pain control in the ED, the CPB offers an effective, simple method for providing analgesia without known significant risks, including without the risks associated with high-dose systemic analgesia.Copyright © 2023 Elsevier Inc. All rights reserved.

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