Comparative study on the efficacy of ultrasound guided clavipectoral fascial plane block vs interscalene brachial plexus block combined with superficial cervical plexus block in clavicle surgeries - A randomized clinical trial.

This is a randomized clinical trial type of study which compares efficacy of ultrasound guided clavipectoral fascial plane block versus interscalene brachial plexus block combined with superficial cervical plexus block in clavicle fractures. It consists total of 60 patients with 30 each in 2 groups namely "C" and "I". Group C will have Superficial cervical plexus block combined with Clavipectoral fascial plane block and group I includes superficial cervical plexus block combined with Interscalene brachial plexus block. Both groups will receive 20ml of 0.5% Ropivicaine without any adjuvants in patients posted for unilateral clavicle fractures surgeries using Sonosite ultrasound guidance. The study will be conducted in Shri BM Patil Medical College Hospital and Research Centre , Vijayapura, Karnataka in it’s Orthopedic OT complex. The primary objective is to asses the success rate of the block, ultrasonographic assessment of hemidiaghragmatic paresis by using sigh test and modified bromage scale to asses the upper limb function. The secondary objective is assessment of pain by using VAS score, time for first rescue analgesia, look for side effects including local anaesthetic systemic toxicity and Horner syndrome.