Klavikula Cerrahisinde Klavipektoral Fasyal Plan Bloğu-İnterskalen Brakial Pleksus Bloğu- İntermediate Servikal Pleksus Bloğunun Beraber Uygulanması: Vaka Serisi

Yıl 2024, , 146 - 149, 29.04.2024

Muhammed Halit Satıcı

https://doi.org/10.35440/hutfd.1416157

Öz

Klavikula cerrahisinde analjezik ve anestezik amaçlı rejyonel anestezinin kullanımı yaygınlaşmaktadır. Biz de klavikula cerrahisi geçirecek genel anestezinin problemli olabileceğini düşündüğümüz üç hastada anestezik amaçlı kombine bir şekilde uyguladığımız klavipektoral fasyal plan bloğu, intermediate servikal pleksus bloğu ve interskalen brakial pleksus bloğundaki tecrübelerimizi aktaracağız. Klavikula cerrahisinde çoğunlukla genel anestezi tercih edilirken günümüzde rejyonel anestezide yaygınlaşmaya başlamaktadır. Analjezik ve anestezik amaçlı klavipektoral fasyal plan bloğuna ek olarak uygulanan servikal pleksus bloğu ve interskalen bloğu yapılan işlemin kalitesini artırmaktadır. Klavikula cerrahisinde birlikte uygulanacak klaviopektoral fasyal plan bloğu, intermediate servikal pleksus bloğu ve interskalen brakial pleksus blok kombinasyonunun analjezik ve anestezik etki gücü çok yüksektir.

Anahtar Kelimeler

Klavipektoral fasyal plan blok, Servikal pleksus blok, İnterskalen brakial pleksus blok, Klavikula cerrahisi

Etik Beyan

Hastalardan yazılı ve sözlü onam alınmıştır.

Application of Clavipectoral Facial Plan Block- Interscalene Brachial Plexus Block- Intermediate Cervical Plexus Block in Clavicula Surgery:

Öz

The use of regional anesthesia for analgesic and anesthetic purposes in clavicle surgery is be-coming widespread. We will share our experiences with the clavipectoral fascial plane block, intermediate cervical plexus block, and interscalene brachial plexus block, which we applied in combination for anesthetic purposes, on three patients who will undergo clavicle surgery, for whom we think general anesthesia may be problematic. While general anesthesia is mostly preferred in clavicle surgery, regional anesthesia is becoming more common today. Adding a cervical plexus block and an interscalene block to the clavipectoral fascial plane block to help with pain relief and anesthesia makes the procedure better. When used together in clavicle surgery, the claviopectoral fascial plane block, the intermediate cervical plexus block, and the interscalene brachial plexus block have a very strong pain-relieving and numbing effect.

Anahtar Kelimeler

Clavipectoral fascial plane block, Cervical plexus block, Interscalen brachial plexus block

Kaynakça

• 1. Shrestha BR, Sharma P. Regional anesthesia in clavicle surgery. JNMA J Nepal Medical Assoc. 2017; 56:265–7.
• 2. Arjun BK, Vinod CN, Puneeth J, Narendrababu MC. Ultra-sound-guided interscalene block combined with mid or superficial cervical plexus block for clavicle surgery: a randomized, double-blind study. Eur J Anesthesiol. 2020;37(11):979–83.
• 3. Atalay YO, Mürsel E, Çiftçi B, Iptec G. Clavipectoral fascia plane block for analgesia after clavicle surgery. Spanish journal of anesthesiology and resuscitation. 2019;66(10):562–3.
• 4. İnce I, Kılıçaslan A, Roques V, Elsharkawy H, Valdes L. The clavipectoral fascia plan block: answer to Dr. Altın-pulluk. JClin Anest. 2020;61:109681.
• 5. Kukreja P, Davis CJ, MacBeth L, Feinstein J, Kalagara H. Ultrasound-guided clavipectoral facial plane block for surgery involving the clavicle. Case Ser Cureus. 2020;12(7):e9072.
• 6. Magalhaes J, Segura-Grau E. Single-puncture clavipecto-ral fascial block as a potentially effective analgesic stra-tegy for clavicle surgery. JClin Anest. 2020;67:110062.
• 7. Zhuo Q, Zheng Y, Hu Z, Xiong J, Wu Y, Zheng Y, Wang L. Ultrasound-guided clavipectoral facial plane block with mid-cervical plexus block for mid-shaft clavicular sur-gery: a prospective randomized controlled trial. Anest-hesia Analysis 2022;135:633–40.
• 8. Fugelli CG, Westlye ET, Ersdal H, Strand K, Bjorshol C. Combined Interscalene Brachial Plexus and superficial cervical plexus nerve block for Mid-Shaft clavicle sur-gery: a case series. AANA J. 2019;87(5):374-8.
• 9. Caroline G F, Erling Tjelta W, Hege E et al. Combined Interscalene Brachial Plexus and superficial cervical plexus Nerve Block for Mid shaft clavicle surgery: A case series. AANA Journal 2019;87(5):374-77.
• 10. Yashimura M, Morimoto Y. Use of clavipectoral fascial plane block for clavicle fracture. Two case reports. Saudi J Anaesth 2020; 14:284-5.