Contemporary methods of regional anesthesia in the surgical treatment of clavicle fractures: a narrative review

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Abstract

Selecting an appropriate method of regional anesthesia for clavicle fracture surgery has become increasingly relevant due to a continued growth in contraindications for traditional upper limb nerve blocks. Factors such as chronic pulmonary dysfunction in post-COVID-19 patients, an increasing number of patients with severe respiratory failure from chronic obstructive lung disease, and upper limb injury-related impairments to lung function on the affected side have raised concerns that regional anesthesia might pose greater risks than benefits. We searched for publications in various electronic databases and libraries including PubMed, MEDLINE, and EMBASE and others. The search yielded 904 sources, and this review includes data from 26 studies involving 3,391 patients who received one or another method of regional anesthesia and analgesia. Additional 29 references were analyzed to substantiate the relevance of the study. The review includes articles describing any methods of regional anesthesia used in clavicle surgeries for both adults and children, as well as articles on complications and side effects of these methods. The aim of the review was to search for methods of regional anesthesia for the surgical treatment of clavicle fractures, based on the analysis of modern literature. The literature review provided insights into the characteristics of traditional methods of regional anesthesia and introduced new techniques that can improve patient comfort and safety during clavicle surgery.

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Artem N. Adamenko

Privolzhsky Research Medical University

Author for correspondence.
Email: AdamenkoArtemN@yandex.ru
ORCID iD: 0009-0005-4411-9614
Russian Federation, Nizhny Novgorod

Anna A. Ezhevskaya

Privolzhsky Research Medical University

Email: annaezhe@yandex.ru
ORCID iD: 0000-0002-9286-4679
SPIN-code: 2371-2825

MD, Dr. Sci. (Medicine), associate professor

Russian Federation, Nizhny Novgorod

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