Evidence map›Paper›PMID 41670700›Full record

ReviewDie Anaesthesiologie2026

[Update peripheral regional anesthesia : Rib, clavicle and shoulder dislocation].

Rebecca Heinen, Ann-Kristin Schubert, Dimitar Palashev, Georg Feigl, Thomas Wiesmann

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In one paragraph

Review in Die Anaesthesiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Rebecca HeinenKlinik f. Anästhesiologie, Intensivmedizin und Schmerzmedizin, BG Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt/Main, Deutschland.
Ann-Kristin SchubertKlinik f. Anästhesie und Intensivtherapie, Universitätsklinikum Gießen und Marburg (UKGM), Standort Marburg, Baldingerstr., 35033, Marburg, Deutschland.
Dimitar PalashevKlinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Diak Klinikum Landkreis Schwäbisch Hall, Diakoniestr. 10, 74523, Schwäbisch Hall, Deutschland.
Georg FeiglInstitut für Anatomie und klinische Morphologie, Universität Witten/Herdecke, Gleiwitzer Straße 5, 58454, Witten, Deutschland.
Thomas WiesmannKlinik f. Anästhesie und Intensivtherapie, Universitätsklinikum Gießen und Marburg (UKGM), Standort Marburg, Baldingerstr., 35033, Marburg, Deutschland. thomas.wiesmann@diak-klinikum.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This CME article describes the current developments in peripheral regional anesthesia for shoulder dislocation, clavicle fractures and (serial) rib fractures. Ultrasound-guided regional anesthesia techniques are increasingly replacing analgesic sedation or general anesthesia for shoulder reduction, combining pain relief and muscle relaxation with greater safety. In clavicle fractures, the midclavicular block provides targeted analgesia without motor impairment as an alternative to established combined block of the brachial plexus and cervical plexus. For serial rib fractures, fascial plane blocks, such as the serratus anterior and erector spinae plane blocks are recommended as safe alternatives to potent neuraxial techniques. Regional anesthesia thus enables effective, resource-efficient, and patient-friendly pain management in routine trauma care.

Indexed as

Anesthesia, ConductionClavicleRib FracturesShoulder DislocationHumansNerve BlockRibsUltrasonography, InterventionalAnalgesiaClavicleNerve blockRib fracturesShoulder dislocation

Identifiers

What OpenQuestion holds

Textmetadata
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.