Case Reports | Challenge Journal of Perioperative Medicine

Ultrasound-guided supraclavicular nerve and interscalene block for clavicle surgery in pregnancy: A case report and case-based literature review

Oguzhan Okumus, Ahmet Ridvan Dogan, Burcu Can


DOI: https://doi.org/10.20528/cjpm.2025.02.007
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Abstract


A 34-year-old woman at 32 weeks of gestation sustained a displaced clavicle fracture following a motor vehicle accident. To avoid the risks of general anesthesia during late pregnancy, ultrasound-guided interscalene and selective supraclavicular nerve blocks were performed with a single skin entry point. Surgery was completed uneventfully, and there was no need for additional analgesics. No maternal or fetal complications observed. This case illustrates the safety and efficacy of regional anesthesia in pregnant trauma patients and highlights the potential of targeted peripheral nerve blocks as a viable alternative to general anesthesia for upper extremity surgeries during pregnancy.


Keywords


pregnancy; clavicle fracture; regional anesthesia; supraclavicular nerve block; interscalene block

References


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