Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector63066610.17816/RA630666ReviewsНаучные обзорыReview ArticleContemporary methods of regional anesthesia in the surgical treatment of clavicle fractures: a narrative reviewСовременные методы регионарной анестезии при оперативном лечении переломов ключицы: описательный обзор литературыhttps://orcid.org/0009-0005-4411-9614AdamenkoArtem N.АдаменкоАртём Николаевич
Russian Federation
AdamenkoArtemN@yandex.ruhttps://orcid.org/0000-0002-9286-46792371-2825EzhevskayaAnna A.ЕжевскаяАнна Александровна
Russian Federation

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

д-р мед. наук, доцент

annaezhe@yandex.ruPrivolzhsky Research Medical UniversityПриволжский исследовательский медицинский университет08102024211220241832322442204202403092024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-Вектор2024Eco-VectorЭко-Векторhttps://rjraap.com/1993-6508/article/view/630666

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.

Проблема выбора метода регионарной анестезии при оперативном лечении переломов ключицы до настоящего времени не потеряла своей актуальности из-за продолжающегося повышения частоты возможных противопоказаний к выбору традиционных методик блокад области надплечья. Хронические нарушения лёгочной функции у пациентов после перенесённой коронавирусной инфекции, растущее число пациентов с выраженной дыхательной недостаточностью из-за хронической обструктивной болезни лёгких, а также особенности механизма травм области надплечья, вследствие которых может нарушаться функция лёгкого на стороне повреждения, стали причинами, по которым применение регионарной анестезии может нести в себе больше рисков для пациента, чем пользы. Авторами был проведён поиск публикаций в электронных базах данных и библиотеках PubMed, MEDLINE, EMBASE и др. По результатам поиска было обнаружено 904 источника литературы, из которых в обзор были включены данные из 26 исследований и 29 иных литературных источников, обосновывающих актуальность работы, содержащих сведения о 3391 пациенте, получившем тот или иной способ регионарной анестезии и аналгезии (в обзор включены статьи, описывающие любые методы регионарной анестезии, применяемые при хирургических вмешательствах на ключице у взрослых и детей, а также статьи, посвящённые осложнениям и побочным явлениям способов регионарной анестезии, применяемых при операциях на ключице). Целью обзора являлся поиск актуальных методов регионарной анестезии пациентов при оперативном лечении переломов ключицы, а также анализ свойственных им особенностей и нежелательных явлений на основе анализа современных данных литературы. Итоги обзора позволили уточнить особенности традиционных методов регионарной анестезии, а также узнать о новых методах регионарной анестезии, позволяющих повысить комфорт и безопасность пациентов при операциях на ключице.

clavicle surgeryregional anesthesiainterscalene blockclavipectoral blockdiaphragm paresisостеосинтез ключицырегионарная анестезиямежлестничный блокклавипекторальный блокпарез диафрагмыPostacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11(5):452–456. doi: 10.4055/cios20010Postacchini F., Gumina S., De Santis P., Albo F. Epidemiology of clavicle fractures // Journal of shoulder and elbow surgery. 2002. Vol. 11, N. 5. P. 452–456. doi: 10.1067/mse.2002.126613Kim DW, Kim DH, Kim BS, Cho CH. Current Concepts for Classification and Treatment of Distal Clavicle Fractures. Clin Orthop Surg. 2020;12(2):135–144. doi: 10.4055/cios20010Kim D.W., Kim D.H., Kim B.S., Cho C.H. Current Concepts for Classification and Treatment of Distal Clavicle Fractures // Clinics in orthopedic surgery. 2020. Vol. 12, N. 2. P. 135–144. doi: 10.4055/cios20010George DM, McKay BP, Jaarsma RL. The long-term outcome of displaced mid-third clavicle fractures on scapular and shoulder function: variations between immediate surgery, delayed surgery, and nonsurgical management. J Shoulder Elbow Surg. 2015;24(5):669–676. doi: 10.1016/j.jse.2014.09.037George D.M., McKay B.P., Jaarsma R.L. The long-term outcome of displaced mid-third clavicle fractures on scapular and shoulder function: variations between immediate surgery, delayed surgery, and nonsurgical management // Journal of shoulder and elbow surgery. 2015. Vol. 24, N. 5. P. 669–676. doi: 10.1016/j.jse.2014.09.037Frima H, van Heijl M, Michelitsch C, et al. Clavicle fractures in adults; current concepts. Eur J Trauma Emerg Surg. 2020;46(3):519–529. doi: 10.1007/s00068-019-01122-4Frima H., van Heijl M., Michelitsch C., et al. Clavicle fractures in adults; current concepts // European journal of trauma and emergency surgery: official publication of the European Trauma Society. 2020. Vol. 46, N. 3. P. 519–529. doi: 10.1007/s00068-019-01122-4Guerra E, Previtali D, Tamborini S, et al. Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared with Nonoperative Treatment: A Meta-analysis. Am J Sports Med. 2019;47(14):3541–3551. doi: 10.1177/0363546519826961Guerra E., Previtali D., Tamborini S., et al. Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared with Nonoperative Treatment: A Meta-analysis // The American journal of sports medicine. 2019. Vol. 47, N. 14. P. 3541–3551. doi: 10.1177/0363546519826961Moverley R, Little N, Gulihar A, Singh B. Current concepts in the management of clavicle fractures. J Clin Orthop Trauma. 2020;11(Suppl 1):S25–S30. doi: 10.1016/j.jcot.2019.07.016Moverley R., Little N., Gulihar A., Singh B. Current concepts in the management of clavicle fractures // Journal of clinical orthopaedics and trauma. 2020. Vol. 11, Suppl. 1. Р. S25–S30. doi: 10.1016/j.jcot.2019.07.016Yoo JS, Heo K, Kwon SM, et al. Effect of Surgical-Site, Multimodal Drug Injection on Pain and Stress Biomarkers in Patients Undergoing Plate Fixation for Clavicular Fractures. Clin Orthop Surg. 2018;10(4):455–461. doi: 10.4055/cios.2018.10.4.455Yoo J.S., Heo K., Kwon S.M., et al. Effect of Surgical-Site, Multimodal Drug Injection on Pain and Stress Biomarkers in Patients Undergoing Plate Fixation for Clavicular Fractures // Clinics in orthopedic surgery. 2018. Vol. 1, N. 4. P. 455–461. doi: 10.4055/cios.2018.10.4.455Baran O, Kır B, Ateş İ, et al. Combined supraclavicular and superficial cervical plexus block for clavicle surgery. Korean J Anesthesiol. 2020;73(1):67–70. doi: 10.4097/kja.d.18.00296Baran O., Kır B., Ateş İ., et al. Combined supraclavicular and superficial cervical plexus block for clavicle surgery // Korean journal of anesthesiology. 2020. Vol. 73, N. 1. P. 67–70. doi: 10.4097/kja.d.18.00296Banerjee S, Acharya R, Sriramka B. Ultrasound-Guided Inter-scalene Brachial Plexus Block with Superficial Cervical Plexus Block Compared with General Anesthesia in Patients Undergoing Clavicular Surgery: A Comparative Analysis. Anesth Essays Res. 2019;13(1):149–154. doi: 10.4103/aer.AER_185_18Banerjee S., Acharya R., Sriramka B. Ultrasound-Guided Inter-scalene Brachial Plexus Block with Superficial Cervical Plexus Block Compared with General Anesthesia in Patients Undergoing Clavicular Surgery: A Comparative Analysis // Anesthesia, essays and researches. 2019. Vol. 13, N. 1. P. 149–154. doi: 10.4103/aer.AER_185_18Tran DQ, Tiyaprasertkul W, González AP. Analgesia for clavicular fracture and surgery: a call for evidence. Reg Anesth Pain Med. 2013;38(6):539–543. doi: 10.1097/AAP.0000000000000012Tran D.Q., Tiyaprasertkul W., González A.P. Analgesia for clavicular fracture and surgery: a call for evidence // Regional anesthesia and pain medicine. 2013. Vol. 38, N. 6. P. 539–543. doi: 10.1097/AAP.0000000000000012Morozova LN, Stepanenko SM. Interscalene blockade during clavicle surgery in children. Regional Anesthesia and Acute Pain Management. 2008;2(2):19–25. (In Russ.). EDN: TDQECZМорозова Л.Н., Степаненко С. М. Межлестничная блокада при операциях на ключице у детей // Регионарная анестезия и лечение острой боли. 2008. Т. 2, № 2. C. 19–25. EDN: TDQECZZagrekov VI. The choice of technique of brachial plexus blockage in upper extremities surgeries. Regional Anesthesia and Acute Pain Management. 2008;2(3):49–57. (In Russ.). EDN: TDQEJNЗагреков В.И. Выбор техники блокады плечевого сплетения при операциях на верхних конечностях // Регионарная анестезия и лечение острой боли. 2008. Т. 2, № 3. С. 49–57. EDN: TDQEJNBeletsky A, Burton BN, Swisher MW, et al. Utilization of regional anesthesia for open reduction and internal fixation of clavicular fractures is associated with increased same-day discharge and not readmissions. Reg Anesth Pain Med. 2020;45(9):716–719. doi: 10.1136/rapm-2020-101567Beletsky A., Burton B.N., Swisher M.W., et al. Utilization of regional anesthesia for open reduction and internal fixation of clavicular fractures is associated with increased same-day discharge and not readmissions // Regional anesthesia and pain medicine. 2020. Vol. 45, N. 9. P. 716–719. doi: 10.1136/rapm-2020-101567Kuchyn IuL. Interscalene brachial plexus block in patients with clavicle fractures: randomized comparison of techniques with ultrasound guidance and neurostimulator. Novosti Khirurgii. 2013;21(6):105–108. doi: 10.18484/2305-0047.2013.6.105Кучин Ю.Л. Блокада плечевого сплетения межлестничным доступом у пациентов с переломами ключицы: рандомизированное сравнение техник с ультразвуковым контролем и нейростимулятором // Новости хирургии. 2013. Т. 21, № 6. С. 105–108. doi: 10.18484/2305-0047.2013.6.105Lee CCM, Beh ZY, Lua CB, et al. Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1-A Scoping Review. Healthcare (Basel). 2022;10(8):1487. doi: 10.3390/healthcare10081487Lee C.C.M., Beh Z.Y., Lua C.B., et al. Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1-A Scoping Review // Healthcare (Basel, Switzerland). 2022. Vol. 10, N. 8. P. 1487. doi: 10.3390/healthcare10081487Valdés-Vilches LF, Sánchez-del Águila MJ. Anesthesia for clavicular fracture: selective supraclavicular nerve block is the key. Reg Anesth Pain Med. 2014;39(3):258–259. doi: 10.1097/AAP.0000000000000057Valdés-Vilches L.F., Sánchez-del Águila M.J. Anesthesia for clavicular fracture: selective supraclavicular nerve block is the key // Regional anesthesia and pain medicine. 2014. Vol. 39, N. 3. P. 258–259. doi: 10.1097/AAP.0000000000000057Moriggl B. Clavicle innervation and implications for regional anaesthesia. Reg Anesth Pain Med. 2019;44:63–64.Moriggl B. Clavicle innervation and implications for regional anaesthesia // Regional Anesthesia & Pain Medicine. 2019. Vol. 44. P. 63 – 64.Leurcharusmee P, Maikong N, Kantakam P, et al. Innervation of the clavicle: a cadaveric investigation. Reg Anesth Pain Med. 2021;46(12):1076–1079. doi: 10.1136/rapm-2021-103197Leurcharusmee P., Maikong N., Kantakam P., et al. Innervation of the clavicle: a cadaveric investigation // Regional anesthesia and pain medicine. 2021. Vol. 46, N. 12. P. 1076–1079. doi: 10.1136/rapm-2021-103197Tran J, Peng PWH, Agur AMR. Anatomical study of the innervation of glenohumeral and acromioclavicular joint capsules: implications for image-guided intervention. Reg Anesth Pain Med. 2019;44:452–458. doi: 10.1136/rapm-2018-100152Tran J., Peng P.W.H., Agur A.M.R. Anatomical study of the innervation of glenohumeral and acromioclavicular joint capsules: implications for image-guided intervention // Regional Anesthesia & Pain Medicine. 2019. Vol. 44. P. 452 – 458. doi: 10.1136/rapm-2018-100152Ince I, Kilicaslan A, Roques V, et al. Ultrasound-guided clavipectoral fascial plane block in a patient undergoing clavicular surgery. Journal of Clinical Anesthesia. 2019;58:125–127. doi: 10.1016/j.jclinane.2019.07.011Ince I., Kilicaslan A., Roques V., et al. Ultrasound-guided clavipectoral fascial plane block in a patient undergoing clavicular surgery // Journal of Clinical Anesthesia. 2019. Vol. 58. P. 125 – 127. doi: 10.1016/j.jclinane.2019.07.011Fillingim RB. Individual differences in pain: understanding the mosaic that makes pain personal. Pain. 2017;158(Suppl 1):S11–S18. doi: 10.1097/j.pain.0000000000000775Fillingim R.B. Individual differences in pain: understanding the mosaic that makes pain personal // Pain. 2017. Vol. 158, Suppl. 1. P. 11–18. doi: 10.1097/j.pain.0000000000000775Lanz E, Theiss D, Jankovic D. The extent of blockade following various techniques of brachial plexus block. Anesth Analg. 1983;62(1):55–58.Lanz E., Theiss D., Jankovic D. The extent of blockade following various techniques of brachial plexus block // Anesthesia and analgesia. 1983. Vol. 62, N. 1. P. 55–58.Urmey WF, Talts KH, Sharrock NE. One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg. 1991;72(4):498–503. doi: 10.1213/00000539-199104000-00014Urmey W.F., Talts K.H., Sharrock N.E. One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography // Anesthesia and analgesia. 1991. Vol. 72, N. 4. P. 498–503. doi: 10.1213/00000539-199104000-00014Renes SH, Rettig HC, Gielen MJ, et al. Ultrasound-guided low-dose interscalene brachial plexus block reduces the incidence of hemidiaphragmatic paresis. Reg Anesth Pain Med. 2009;34(5):498–502. doi: 10.1097/AAP.0b013e3181b49256Renes S.H., Rettig H.C., Gielen M.J., et al. Ultrasound-guided low-dose interscalene brachial plexus block reduces the incidence of hemidiaphragmatic paresis // Regional anesthesia and pain medicine. 2009. Vol. 34, N. 5. P. 498–502. doi: 10.1097/AAP.0b013e3181b49256Kaciroglu A, Karakaya MA, Ahiskalioglu A, et al. Ultrasound-guided combined interscalene and superficial cervical plexus blocks for anesthesia management during clavicle fracture surgery. Ain-Shams J Anesthesiol. 2019;11:28. doi: 10.1186/s42077-019-0039-5Kaciroglu A., Karakaya M.A., Ahiskalioglu A., et al. Ultrasound-guided combined interscalene and superficial cervical plexus blocks for anesthesia management during clavicle fracture surgery // Ain-Shams Journal of Anesthesiology. 2019. Vol. 11. Р. 28. doi: 10.1186/s42077-019-0039-5Telford RJ, Stoneham MD. Correct nomenclature of superficial cervical plexus blocks. Br J Anaesth. 2004;92(5):775–776. doi: 10.1093/bja/aeh550Telford R.J., Stoneham M.D. Correct nomenclature of superficial cervical plexus blocks // British journal of anaesthesia. 2004. Vol. 92, N. 5. P. 775–776. doi: 10.1093/bja/aeh550Pandit JJ, Dutta D, Morris JF. Spread of injectate with superficial cervical plexus block in humans: an anatomical study. Br J Anaesth. 2003;91(5):733–735. doi: 10.1093/bja/aeg250Pandit J.J., Dutta D., Morris J.F. Spread of injectate with superficial cervical plexus block in humans: an anatomical study // British journal of anaesthesia. 2003. Vol. 91, N. 5. P. 733–735. doi: 10.1093/bja/aeg250Gupta N, Gupta V, Kumar G, Gupta D. Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures. Int J Contemp Med Res. 2019;6:11–13. doi: 10.21276/ijcmr.2019.6.3.22Gupta N., Gupta V., Kumar G., Gupta D. Comparative Evaluation of Efficacy of Interscalene Block vs. Interscalene Block and Superficial Cervical Plexus Block for Fixation of Clavicular Fractures // Int J Contemp Med Res. 2019. Vol. 6. P. 11–13. doi: 10.21276/ijcmr.2019.6.3.22Ryan DJ, Iofin N, Furgiuele D, et al. Regional anesthesia for clavicle fracture surgery is safe and effective. J Shoulder Elbow Surg. 2021;30(7):e356–e360. doi: 10.1016/j.jse.2020.10.009Ryan D.J., Iofin N., Furgiuele D., et al Regional anesthesia for clavicle fracture surgery is safe and effective // Journal of shoulder and elbow surgery. 2021. Vol. 30, N. 7. P. 356–360. doi: 10.1016/j.jse.2020.10.009Abdelghany MS, Ahmed SA, Afandy ME. Superficial cervical plexus block alone or combined with interscalene brachial plexus block in surgery for clavicle fractures: a randomized clinical trial. Minerva Anestesiol. 2021;87(5):523–532. doi: 10.23736/S0375-9393.21.14865-5Abdelghany M.S., Ahmed S.A., Afandy M.E. Superficial cervical plexus block alone or combined with interscalene brachial plexus block in surgery for clavicle fractures: a randomized clinical trial // Minerva anestesiologica. 2021. Vol. 87, N. 5. P. 523–532. doi: 10.23736/S0375-9393.21.14865-5Arjun BK, Vinod CN, Puneeth J, Narendrababu MC. Ultrasound-guided interscalene block combined with intermediate or superficial cervical plexus block for clavicle surgery: A randomised double blind study. Eur J Anaesthesiol. 2020;37(11):979–983. doi: 10.1097/EJA.0000000000001300Arjun B.K., Vinod C.N., Puneeth J., Narendrababu M.C. Ultrasound-guided interscalene block combined with intermediate or superficial cervical plexus block for clavicle surgery: A randomised double blind study // European journal of anaesthesiology. 2020. Vol. 37, N. 11. P. 979–983. doi: 10.1097/EJA.0000000000001300Ince I, Kilicaslan A, Roques V, et al. Ultrasound-guided clavipectoral fascial plane block in a patient undergoing clavicular surgery. J Clin Anesth. 2019;58:125–127. doi: 10.1016/j.jclinane.2019.07.011Ince I., Kilicaslan A., Roques V., et al. Ultrasound-guided clavipectoral fascial plane block in a patient undergoing clavicular surgery // Journal of clinical anesthesia. 2019. Vol. 58. P. 125–127. doi: 10.1016/j.jclinane.2019.07.011Atalay YO, Mursel E, Ciftci B, Iptec G. Clavipectoral Fascia Plane Block for Analgesia after Clavicle Surgery. Bloqueo del plano de la fascia clavipectoral para analgesia tras cirugía de clavícula. Rev Esp Anestesiol Reanim (Engl Ed). 2019;66(10):562–563. doi: 10.1016/j.redar.2019.06.006Atalay Y.O., Mursel E., Ciftci B., Iptec G. Clavipectoral Fascia Plane Block for Analgesia after Clavicle Surgery // Revista espanola de anestesiologia y reanimacion. 2019. Vol. 66, N. 10. P. 562–563. doi: 10.1016/j.redar.2019.06.006Brukhnov AV, Kokhan ZV, Pechersky VG, Marochkov AV. Regional blocks with minimal doses of local anesthetic during surgical interventions on the clavicle. Regional Anesthesia and Acute Pain Management. 2014;8(4):22–26. (In Russ.). EDN: TBFEUFБрухнов А.В., Кохан З.В., Печерский В.Г., Марочков А.В. Регионарные блокады минимальными дозами местного анестетика при хирургических вмешательствах на ключице // Регионарная анестезия и лечение острой боли. 2014. Т. 8, № 4. С. 22–26. EDN: TBFEUFHan J, Xu Y, Shan Y, et al. Could C3, 4, and 5 Nerve Root Block be a Better Alternative to Interscalene Block Plus Intermediate Cervical Plexus Block for Patients Undergoing Surgery for Midshaft and Medial Clavicle Fractures? A Randomized Controlled Trial. Clin Orthop Relat Res. 2023;481(4):798–807. doi: 10.1097/CORR.0000000000002479Han J., Xu Y., Shan Y., et al. Could C3, 4, and 5 Nerve Root Block be a Better Alternative to Interscalene Block Plus Intermediate Cervical Plexus Block for Patients Undergoing Surgery for Midshaft and Medial Clavicle Fractures? A Randomized Controlled Trial // Clinical orthopaedics and related research. 2023. Vol. 481, N. 4. P. 798–807. doi: 10.1097/CORR.0000000000002479Olofsson M, Taffé P, Kirkham KR, et al. Interscalene brachial plexus block for surgical repair of clavicle fracture: a matched case-controlled study. BMC Anesthesiol. 2020;20(1):91. doi: 10.1186/s12871-020-01005-xOlofsson M., Taffé P., Kirkham K.R., et al. Interscalene brachial plexus block for surgical repair of clavicle fracture: a matched case-controlled study // BMC anesthesiology. 2020. Vol. 20, N. 1. P. 91. doi: 10.1186/s12871-020-01005-xRajbanshi LK, Arjyal B, Bajracharya A, Khanal K. Comparison of Ultrasound Guided Interscalene and Supraclavicular Brachial Plexus Block for Clavicle Fracture Surgery. J Coll Med Sci-Nepal. 2018;14(4):189–95. doi: 10.3126/jcmsn.v14i4.20635Rajbanshi L.K., Arjyal B., Bajracharya A., Khanal K. Comparison of Ultrasound Guided Interscalene and Supraclavicular Brachial Plexus Block for Clavicle Fracture Surgery // Journal of College of Medical Sciences-Nepal. 2018. Vol. 14, N. 4. P. 189–195. doi: 10.3126/jcmsn.v14i4.20635Contractor HU, Shah VA, Gajjar VA. Ultrasound guided superficial cervical plexus and interscalene brachial plexus block for clavicular surgery. Anaesth Pain and Intensive Care. 2016;20(4):447–450.Contractor H.U., Shah V.A., Gajjar V.A. Ultrasound guided superficial cervical plexus and interscalene brachial plexus block for clavicular surgery // Anaesth Pain and Intensive Care. 2016. Vol. 20, N. 4. P. 447–450.Valdés-Vilches L. Analgesia for clavicular surgery/fractures. In: Symposia 01: Postoperative analgesia for Orthopedic upper and lower limb surgery. Symposium conducted at the 36th Annual European Society of Regional Anaesthesia and Pain Therapy (ESRA) Congress, Lugano, Switzerland; 13–16 September 2017.Valdes L. Analgesia for clavicular surgery/fractures. In: Symposia 01: Postoperative analgesia for Orthopedic upper and lower limb surgery. Symposium conducted at the 36th Annual European Society of Regional Anaesthesia and Pain Therapy (ESRA) Congress; Sep 13–16; Lugano, Switzerland; 13–16 September 2017.Roqués V, Valdés L, Pradere A. How I do it: PoCUS and fascial plane blocks. Video presented at: IS-09 Ask the Experts Interactive Session. Clavipectoral fascia plain block for clavicle surgery. Proceedings of the Session Conducted at the 44th Annual Regional Anesthesiology and Acute Pain Medicine Meeting, Las Vegas, NV, USA; 13 April 2019.Roqués V., Valdés L., Pradere A. How I do it: PoCUS and fascial plane blocks. Video presented at: IS-09 Ask the Experts Interactive Session. Clavipectoral fascia plain block for clavicle surgery. Proceedings of the Session Conducted at the 44th Annual Regional Anesthesiology and Acute Pain Medicine Meeting, Las Vegas, NV, USA; 13 April 2019.Rosales AL, Aypa NS. Clavipectoral plane block as a sole anesthetic technique for clavicle surgery — A case report. Anesth Pain Med (Seoul). 2022;17(1):93–97. doi: 10.17085/apm.21085Rosales A.L., Aypa, N.S. Clavipectoral plane block as a sole anesthetic technique for clavicle surgery — A case report // Anesthesia and pain medicine. 2022. Vol. 17, N. 1. P. 93–97. doi: 10.17085/apm.21085Atalay YO, Ciftci B, Ekinci M, Yesiltas S. The effectiveness of clavipectoral fascia plane block for analgesia after clavicle surgery: a report of five cases. Minerva Anestesiol. 2020;86(9):992–993. doi: 10.23736/S0375-9393.20.14503-6Atalay Y.O., Ciftci B., Ekinci M., Yesiltas S. The effectiveness of clavipectoral fascia plane block for analgesia after clavicle surgery: a report of five cases // Minerva anestesiologica. 2020. Vol. 86, N. 9. P. 992–993. doi: 10.23736/S0375-9393.20.14503-6Yoshimura M, Morimoto Y. Use of clavipectoral fascial plane block for clavicle fracture: Two case reports. Saudi J Anaesth. 2020;14(2):284–285. doi: 10.4103/sja.SJA_52_20Yoshimura M., Morimoto Y. Use of clavipectoral fascial plane block for clavicle fracture: Two case reports // Saudi journal of anaesthesia. 2020. Vol. 14, N. 2. P. 284–285. doi: 10.4103/sja.SJA_52_20Magalhães J, Segura-Grau E. Single puncture clavipectoral fascial block as a potential effective analgesic strategy for clavicle surgery. J Clin Anesth. 2020;67:110062. doi: 10.1016/j.jclinane.2020.110062Magalhães J., Segura-Grau E. Single puncture clavipectoral fascial block as a potential effective analgesic strategy for clavicle surgery // Journal of clinical anesthesia. 2020. Vol. 67. Р. 110062. doi: 10.1016/j.jclinane.2020.110062Kukreja P, Davis CJ, MacBeth L, et al. Ultrasound-Guided Clavipectoral Fascial Plane Block for Surgery Involving the Clavicle: A Case Series. Cureus. 2020;12(7):e9072. doi: 10.7759/cureus.9072Kukreja P., Davis C.J., MacBeth L., et al. Ultrasound-Guided Clavipectoral Fascial Plane Block for Surgery Involving the Clavicle: A Case Series // Cureus. 2020. Vol. 12, N. 7. Р. e9072. doi: 10.7759/cureus.9072Sivashanmugam T, Areti A, Selvum E, et al. Selective blockade of supraclavicular nerves and upper trunk of brachial plexus «The SCUT block» towards a site-specific regional anaesthesia strategy for clavicle surgeries — a descriptive study. Indian J Anaesth. 2021;65(9):656–661. doi: 10.4103/ija.ija_255_21Sivashanmugam T., Areti A., Selvum E., et al. Selective blockade of supraclavicular nerves and upper trunk of brachial plexus «The SCUT block» towards a site-specific regional anaesthesia strategy for clavicle surgeries — a descriptive study // Indian Journal of Anaesthesia. 2021. Vol. 65, N. 9. P. 656–661. doi: 10.4103/ija.ija_255_21Zhuo Q, Zheng Y, Hu Z, et al. Ultrasound-Guided Clavipectoral Fascial Plane Block with Intermediate Cervical Plexus Block for Midshaft Clavicular Surgery: A Prospective Randomized Controlled Trial. Anesth Analg. 2022;135(3):633–640. doi: 10.1213/ANE.0000000000005911Zhuo Q., Zheng Y., Hu Z., et al. Ultrasound-Guided Clavipectoral Fascial Plane Block with Intermediate Cervical Plexus Block for Midshaft Clavicular Surgery: A Prospective Randomized Controlled Trial // Anesthesia and analgesia. 2022. Vol. 135, N. 3. P. 633–640. doi: 10.1213/ANE.0000000000005911Schuitemaker RJB, Sala-Blanch X, Rodriguez-Pérez CL, et al. The PECS II block as a major analgesic component for clavicle operations: A description of 7 case reports. Rev Esp Anestesiol Reanim. 2018;65:53–58. doi: 10.1016/j.redare.2017.11.003Schuitemaker R.J.B., Sala-Blanch X., Rodriguez-Pérez C.L., et al. The PECS II block as a major analgesic component for clavicle operations: A description of 7 case reports // Revista Española de Anestesiología y Reanimación. 2018. Vol. 65. P. 53–58. doi: 10.1016/j.redare.2017.11.003Sanllorente-Sebastián R, Pino-Gómez S, González-Romanillo ME, et al. PECS1 with superficial cervical plexus block for clavicle surgery analgesia. Minerva Anestesiol. 2020;86(6):683–684. doi: 10.23736/S0375-9393.20.14407-9Sanllorente-Sebastián R., Pino-Gómez S., González-Romanillo M.E., et al. PECS1 with superficial cervical plexus block for clavicle surgery analgesia // Minerva anestesiologica. 2020. Vol. 86, N. 6. P. 683–684. doi: 10.23736/S0375-9393.20.14407-9Ramachandran SK, Picton P, Shanks A, et al. Comparison of intermediate vs subcutaneous cervical plexus block for carotid endarterectomy. Br J Anaesth. 2011;107(2):157–163. doi: 10.1093/bja/aer118Ramachandran S.K., Picton P., Shanks A., et al. Comparison of intermediate vs subcutaneous cervical plexus block for carotid endarterectomy // British journal of anaesthesia. 2011. Vol. 107, N. 2. P. 157–163. doi: 10.1093/bja/aer118Syal K, Chandel A, Goyal A, Sharma A. Comparison of ultrasound-guided intermediate vs subcutaneous cervical plexus block for postoperative analgesia in patients undergoing total thyroidectomy: A randomised double-blind trial. Indian J Anaesth. 2020;64(1):37–42. doi: 10.4103/ija.IJA_483_19Syal K., Chandel A., Goyal A., Sharma A. Comparison of ultrasound-guided intermediate vs subcutaneous cervical plexus block for postoperative analgesia in patients undergoing total thyroidectomy: A randomised double-blind trial // Indian journal of anaesthesia. 2020. Vol. 64, N. 1. P. 37–42. doi: 10.4103/ija.IJA_483_19Choquet O, Dadure C, Capdevila X. Ultrasound-guided deep or intermediate cervical plexus block: the target should be the posterior cervical space. Anesth Analg. 2010;111(6):1563–1565. doi: 10.1213/ANE.0b013e3181f1d48fChoquet O., Dadure C., Capdevila X. Ultrasound-guided deep or intermediate cervical plexus block: the target should be the posterior cervical space // Anesthesia and analgesia. 2010. Vol. 111, N. 6. P. 1563–1565. doi: 10.1213/ANE.0b013e3181f1d48fLabandeyra H, Heredia C, Váldes-Vilches LF, Sala-Blanch X. Clavipectoral Fascia Plane Block: Is This Hyperreality? Anesth Analg. 2022;135(4):e23–e24. doi: 10.1213/ANE.0000000000006150Labandeyra H., Heredia C., Váldes-Vilches L.F., Sala-Blanch X. Clavipectoral Fascia Plane Block: Is This Hyperreality? // Anesthesia and analgesia. 2022. Vol. 135, N. 4. P. 23–24. doi: 10.1213/ANE.0000000000006150Labandeyra H, Heredia-Carques C, Campoy JC, et al. Clavipectoral fascia plane block spread: an anatomical study. Reg Anesth Pain Med. 2024;49(5):368–372. doi: 10.1136/rapm-2023-104785Labandeyra H., Heredia-Carques C., Campoy J.C., et al. Clavipectoral fascia plane block spread: an anatomical study // Regional anesthesia and pain medicine. 2024. Vol. 49, N. 5. Р. 368–372. doi: 10.1136/rapm-2023-104785Ahmad AA, Ubaidah Mustapa Kamal MA, Ruslan SR, et al. Plating of clavicle fracture using the wide-awake technique. J Shoulder Elbow Surg. 2020;29(11):2319–2325. doi: 10.1016/j.jse.2020.03.003Ahmad A.A., Ubaidah Mustapa Kamal M.A., Ruslan S.R., et al. Plating of clavicle fracture using the wide-awake technique // Journal of shoulder and elbow surgery. 2020. Vol. 29, N. 11. P. 2319–2325. doi: 10.1016/j.jse.2020.03.003