Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study

Study objective: The objective of this anatomical study was to investigate the distribution of a solution administered using the Clavipectoral Fascia Plane Block (CPB) technique in a series of cadaveric models with midshaft clavicular fractures. The study aimed to address the knowledge gap regarding...

Descripción completa

Detalles Bibliográficos
Autores: Labandeyra, H, Heredia, C, Váldes-Vilches, LF, Prats-Galino, A, Sala-Blanch, X
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p18032
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=18032
http://ddd.uab.cat/record/308073
Access Level:acceso abierto
Palabra clave:Clavipectoral fascia plane block
Regional anesthesia
Upper limb
Midshaft clavicle fracture
Clavipectoral fascia
id ES_0be2b39fa3e86e6126edc7d50e274ec2
oai_identifier_str oai:iibsantpau.fundanetsuite.com:p18032
network_acronym_str ES
network_name_str España
repository_id_str
spelling Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric studyLabandeyra, HHeredia, CVáldes-Vilches, LFPrats-Galino, ASala-Blanch, XClavipectoral fascia plane blockRegional anesthesiaUpper limbMidshaft clavicle fractureClavipectoral fasciaStudy objective: The objective of this anatomical study was to investigate the distribution of a solution administered using the Clavipectoral Fascia Plane Block (CPB) technique in a series of cadaveric models with midshaft clavicular fractures. The study aimed to address the knowledge gap regarding the impact of clavicular fractures on the distribution pattern of the CPB-administered solution. Design: Observational cadaveric study. Setting: The research was conducted in the laboratory setting of the University of Barcelona, adhering to the institution's ethical guidelines and standards. Patients: Five unembalmed human cadavers were used, generating ten clavicle samples. Interventions: A postmortem fracture was induced in the middle third of the clavicle using a blunt-edged hammer, simulating a midshaft clavicular fracture. Measurements: Anatomical dissection was performed in three layers: the superficial muscle plane, deep muscle plane, and clavicular periosteum plane. Dye staining with methylene blue was utilized to assess the distribution pattern. Main results: In the superficial muscular plane, methylene blue was observed in the deltoid (100%), pectoralis major (100%), sternocleidomastoid (SCM) (70%), and trapezius muscles (100%). Conversely, the deep muscular plane, including the subclavius muscle, pectoralis minor, and Clavipectoral Fascia (CPF), exhibited no staining. At the clavicular periosteum plane, methylene blue distributed predominantly to the antero-superior region (57.3%), with a minimal impact on the postero-inferior area (6.5%). Conclusions: The study reveals that the presence of a midshaft clavicular fracture does not significantly alter the diffusion pattern of the CPB-administered solution, maintaining a consistent distribution in both intact and fractured clavicle models.ELSEVIER SCIENCE INC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=18032http://ddd.uab.cat/record/308073JOURNAL OF CLINICAL ANESTHESIAISSN: 09528180ISSNe: 18734529reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p180322026-06-14T12:41:47Z
dc.title.none.fl_str_mv Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
title Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
spellingShingle Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
Labandeyra, H
Clavipectoral fascia plane block
Regional anesthesia
Upper limb
Midshaft clavicle fracture
Clavipectoral fascia
title_short Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
title_full Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
title_fullStr Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
title_full_unstemmed Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
title_sort Clavipectoral fascia plane block in midshaft clavicle fractures: A cadaveric study
dc.creator.none.fl_str_mv Labandeyra, H
Heredia, C
Váldes-Vilches, LF
Prats-Galino, A
Sala-Blanch, X
author Labandeyra, H
author_facet Labandeyra, H
Heredia, C
Váldes-Vilches, LF
Prats-Galino, A
Sala-Blanch, X
author_role author
author2 Heredia, C
Váldes-Vilches, LF
Prats-Galino, A
Sala-Blanch, X
author2_role author
author
author
author
dc.subject.none.fl_str_mv Clavipectoral fascia plane block
Regional anesthesia
Upper limb
Midshaft clavicle fracture
Clavipectoral fascia
topic Clavipectoral fascia plane block
Regional anesthesia
Upper limb
Midshaft clavicle fracture
Clavipectoral fascia
description Study objective: The objective of this anatomical study was to investigate the distribution of a solution administered using the Clavipectoral Fascia Plane Block (CPB) technique in a series of cadaveric models with midshaft clavicular fractures. The study aimed to address the knowledge gap regarding the impact of clavicular fractures on the distribution pattern of the CPB-administered solution. Design: Observational cadaveric study. Setting: The research was conducted in the laboratory setting of the University of Barcelona, adhering to the institution's ethical guidelines and standards. Patients: Five unembalmed human cadavers were used, generating ten clavicle samples. Interventions: A postmortem fracture was induced in the middle third of the clavicle using a blunt-edged hammer, simulating a midshaft clavicular fracture. Measurements: Anatomical dissection was performed in three layers: the superficial muscle plane, deep muscle plane, and clavicular periosteum plane. Dye staining with methylene blue was utilized to assess the distribution pattern. Main results: In the superficial muscular plane, methylene blue was observed in the deltoid (100%), pectoralis major (100%), sternocleidomastoid (SCM) (70%), and trapezius muscles (100%). Conversely, the deep muscular plane, including the subclavius muscle, pectoralis minor, and Clavipectoral Fascia (CPF), exhibited no staining. At the clavicular periosteum plane, methylene blue distributed predominantly to the antero-superior region (57.3%), with a minimal impact on the postero-inferior area (6.5%). Conclusions: The study reveals that the presence of a midshaft clavicular fracture does not significantly alter the diffusion pattern of the CPB-administered solution, maintaining a consistent distribution in both intact and fractured clavicle models.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=18032
http://ddd.uab.cat/record/308073
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=18032
http://ddd.uab.cat/record/308073
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER SCIENCE INC
publisher.none.fl_str_mv ELSEVIER SCIENCE INC
dc.source.none.fl_str_mv JOURNAL OF CLINICAL ANESTHESIA
ISSN: 09528180
ISSNe: 18734529
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
reponame_str r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
collection r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869403253195669504
score 15,811543

Similares en LA Referencia