How do you teach someone to fish?

作者：J. Shim · 发表于：Korean Journal of Anesthesiology · 年份：2023 · DOI：10.4097/kja.23659 · 研究领域：Medicine

of sonoanatomy, the utilization of ultrasound-guided regional blocks, including peripheral nerve and fascial plane blocks, in clinical practice is widespread. Since Karmakar et al. [1] introduced a costoclavicular approach to block the infraclavicular brachial plexus in 2015, the costoclavicular block (CCB) has been used for regional anesthesia of the upper limb and shoulder for surgical procedures or pain management. Despite being a relatively novel nerve blockade technique, the CCB has been extensively adopted for adult and pediatric patients. This rapid adoption can be attributed to the widespread distribution of ultrasound technology and a greater understanding of sonoanatomy. In their study of patients undergoing elective arthroscopic shoulder surgery, Luo et al. [2] conducted an analysis comparing the interscalene block (ISB) and CCB. Various parameters were assessed, including the proportion of patients with a complete motor blockade of the suprascapular nerve at 20 and 30 min postoperatively, complete sensorimotor function of the axillary and supraclavicular nerves, block-related complications (particularly the incidence of hemidiaphragmatic paralysis), the block performance time, pain scores at 12 and 24 h postoperatively, and patient satisfaction. This randomized, controlled prospective study with a relatively large sample size reported that the motor blockade efficacy of the CCB and ISB were comparable, while complications such as hemidiaphragmatic paralysis were n...