Ultrasound-Guided Clavipectoral Fascial Plane Block for Clavicle Surgery: A Case Report

Abstract

The clavicle is a frequently fractured bone. Regional anesthesia for clavicle surgeries is always challenging due to its complex innervation arising from the two plexuses (cervical and brachial). The clavipectoral fascial plane block (CPB) is a novel, procedure-specific, phrenic-sparing, and motor-sparing RA technique that can provide anesthesia or analgesia for clavicle surgeries. The clavipectoral fascial plane block was introduced by Dr. Luis Valdes in a symposium at the 2017 European Society of Regional Anesthesia and Pain Therapy Congress.  We performed an ultrasound-guided Clavipectoral plane block (CPB) with intravenous sedation provided in a 48-year-old male patient with a right mid-shaft clavicle fracture with COPD. This in-plane technique was used to deposit 30 ml of a local anesthesia mixture between the clavipectoral fascia and periosteum on both the medial and lateral sides of the fracture line.