Evidence map›Paper›PMID 37936081›Full record

Trial reportBMC anesthesiology2023

Single injection technique with ultrasound-guided superficial cervical fascia block combined with brachial plexus block in clavicular surgery: a prospective randomized comparative trial.

Anneng Zhou, Ying Wang, Yonghong Cheng, Mei He, Yongting Duan, Dongfang Qin, Mengbi Jiang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

7 authors at 2 institutions in 1 country.

Anneng ZhouDepartment of Anesthesiology, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, No. 43 Wandong North Road, Chongqing, People's Republic of China.
Ying WangDepartment of Anesthesiology, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, No. 43 Wandong North Road, Chongqing, People's Republic of China.
Yonghong ChengDepartment of Orthopaedics, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, Chongqing, People's Republic of China.
Mei HeDepartment of Anesthesiology, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, No. 43 Wandong North Road, Chongqing, People's Republic of China.
Yongting DuanDepartment of Anesthesiology, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, No. 43 Wandong North Road, Chongqing, People's Republic of China.
Dongfang QinDepartment of Anesthesiology, Chongqing Wansheng Economic and Technological Development Zone People's Hospital, No. 43 Wandong North Road, Chongqing, People's Republic of China.
Mengbi JiangInstitute of Anesthesiology and Critical Care Medicine, Three Gorges University & Yichang Central People's Hospital, No. 183 Yiling Avenue, Wujiagang District, Yichang, Hubei Province, 443003, People's Republic of China. 717266875@qq.com.
First People's Hospital of Chongqing · CNYichang Central People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the effects of a single injection technique with ultrasound-guided superficial cervical fascia block combined with brachial plexus block in clavicular surgery.

methodsForty patients, 25 males and 15 females, aged 18-85 years with ASA class I or II underwent unilateral clavicular fracture internal fixation. The patients were randomly divided into a superficial cervical plexus block group (group S, n = 20) and a superficial cervical fascia block group (group F, n = 20). First, the brachial plexus of the intermuscular sulcus of all patients was blocked with an ultrasound-guided injection of one injection with 15ml 0.33% ropivacaine 15ml in both groups. Second, the superficial cervical plexus was blocked by another injection of 5-8ml 0.33% ropivacaine in group S, and the superficial cervical fascia was blocked by an injection with 5-8ml 0.33% ropivacaine in Group F. We evaluated operation time, onset time of anaesthesia, effective time and the grades of nerve block effect in the two groups. Additionally, we evaluated the incidences of local anaesthetic poisoning, hoarseness, dyspnoea, and postoperative nausea and vomiting, and the number of patients requiring remedial analgesia within 24 h. Repeated measurements were analysed by repeated data analysis of variance, and count data were compared by the χ2 test. A P value < 0.05 was considered statistically significant.

resultsThe operation time and onset time in Group F were significantly shorter than those in group S (P < 0.05); the effect of intraoperative block was better than that in group S (P < 0.05), and the effective time was significantly longer in group F than in group S (P < 0.05). However, no severe case of dyspnoea, local anaesthetic poisoning or hoarseness after anaesthesia occurred in either of two groups. There was no significant difference in the rate of postoperative salvage analgesia or that of postoperative nausea and vomiting between the two groups.

conclusionsThe application of the single injection technique with ultrasound-guided superficial cervical fascia block combined with brachial plexus block in clavicular surgery is beneficial because it shortens the operation time, has a faster onset, produces a more effective block and prolongs the longer analgesia time.

trial registrationChinese Clinical Trial Registry- ChiCTR2200064642(13/10/2022).

Indexed as

Brachial Plexus BlockCervical Plexus BlockAdolescentAdultAgedAged, 80 and overAnesthetics, LocalDyspneaFasciaFemaleHoarsenessHumansMaleMiddle AgedPostoperative Nausea and VomitingProspective StudiesAnesthetics, LocalRopivacaineClavicleSuperficial cervical fasciaSuperficial cervical plexusSupraclavicular nerve

Identifiers

PMID37936081
PMCPMC10629117
OpenAlexW4388458570

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.