title: Selective Low-Volume Nerve Block for the Open Surgical Fixation of a Midshaft Clavicle Fracture in a Conscious High-Risk Patient: A Case Report.
abstract: We report a case of successful intraoperative management using only low-volume regional anesthesia for the open surgical fixation of a traumatic clavicle fracture in a conscious 69-year-old man with severe chronic obstructive pulmonary disease. To avoid general anesthesia, we provided low-volume C5 and C6 nerve root blocks along with a superficial cervical plexus block using only 9 mL of anesthetic solution to avoid the often encountered complications of higher volume injections. Throughout the procedure, the patient remained comfortable and cooperative with stable hemodynamics and respiration. The postoperative course was uncomplicated.
authors.affiliation: From the Servicio de Anestesiología y Reanimación, Hospital Vall d'Hebron, Barcelona, Spain.
authors.forename: Carlos I
authors.initials: CI
authors.lastname: Salvadores de Arzuaga
authors.forename: José M
authors.initials: JM
authors.lastname: Naya Sieiro
authors.forename: Oscar
authors.initials: O
authors.lastname: Salmeron Zafra
authors.forename: Miguel A
authors.initials: MA
authors.lastname: González Posada
authors.forename: Esther
authors.initials: E
authors.lastname: Marquez Martínez
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D000070799:Open Fracture Reduction; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000175:diagnosis; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D000779:Anesthetics, Local