Interscalene vs. Superficial Cervical Block vs. Combination for Analgesia After Clavicle Fracture

• Status: Unknown status
• Trial end date: 2020-03-01
• Target enrollment: 0
• Participant gender: All

Summary

The optimal analgesic peripheral nerve block (or combinations thereof) are undefined for clavicle fractures, the most frequent fracture in the human population. This goal of this study is to determine whether interscalene block (ISB), superficial cervical plexus block (SCPB), or both provide the best analgesia for lateral and midshaft clavicular fractures, respectively.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Sunnybrook Health Sciences Centre
• Treatments: Bupivacaine; Epinephrine; Epinephryl borate; Racepinephrine

Criteria

Inclusion Criteria:

• undergoing open reduction and internal fixation of clavicle fracture (midshaft or lateral)

Exclusion Criteria:

• lack of patient consent

• contra-indication to upper extremity peripheral nerve block (eg. severe pulmonary dysfunction)

• inability to lie supine for nerve block

• polytrauma

• pre-existing neurologic deficit in operative upper extremity

• allergy to amide local anesthetic

• contralateral phrenic nerve dysfunction

• chronic opioid use (>30mg daily oral morphine equivalent)