Evidence map›Paper›PMID 34764500›Full record

ArticleIndian journal of anaesthesia2021

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.

T Sivashanmugam, Archana Areti, E Selvum, Sandeep Diwan, Arun Pandian

Open access · diamondAbstract read
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Article in Indian journal of anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

T SivashanmugamDepartment of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute (M.G.M.C and R.I), Sri Balaji Vidyapeeth Deemed to be University, Puducherry, India.
Archana AretiDepartment of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute (M.G.M.C and R.I), Sri Balaji Vidyapeeth Deemed to be University, Puducherry, India.
E SelvumDepartment of Anesthesiology, Balaji Hospital, Thirunelveli, Tamil Nadu, India.
Sandeep DiwanDepartment of Anesthesiology, Sancheti Hospital, Pune, Maharshtra, India.
Arun PandianDepartment of Orthopaedics, Abhirami Hospitals, Cuddalore, Tamil Nadu, India.
Mahatma Gandhi Medical College and Research Institute · INBalaji Dental & Craniofacial Hospital · INSancheti Institute For Orthopaedics & Rehabilitation · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCommonly, the superficial cervical plexus and interscalene block were combined to provide surgical anaesthesia for procedures on the clavicle, which are neither selective nor site-specific considering the innervation of the clavicle. The aim was to analyse effectiveness and block dynamics of selectively blocking supraclavicular (SC) nerves and upper trunk (UT) of brachial plexus (SCUT BLOCK) as a site-specific regional anaesthesia strategy for clavicle surgery.

methodsSC nerves and UT were blocked with 3-ml and 5-ml local anaesthetic, respectively, in 70 American Society of Anesthesiologists I and II patients aged above 18 years, undergoing clavicle surgery. Sensory-motor conduction blockade was assessed in both the plexus territories, following which surgery ensued. Number of patients who exhibited complete conduction blockade of the targeted nerves, number of surgeries completed under the block, intraoperative rescue analgesics, duration of postoperative analgesia and complications were recorded.

resultsSensory and motor mapping showed complete conduction blockade of the targeted nerves in all patients, all other branches were spared. The surgery was completed exclusively under block in 67 (Strategy success rate 96%) out of 70 patients. Intraoperatively, two patients required supplementation of block with a local infiltration and general anaesthesia was administered for one patient. The mean duration of postoperative analgesia was 5 (1.2) hours [mean (standard deviation)]. Only one patient developed ptosis; no other complications were noted.

conclusions"The SCUT block" is an effective site-specific regional anaesthesia strategy for clavicle surgery.

Indexed as

Brachial plexus blocksclavicle surgeryregional anaesthesiaultrasound guided nerve block

Identifiers

PMID34764500
PMCPMC8577712
OpenAlexW3203191064

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.