{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:58:45Z","timestamp":1787169525063,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Commonly, the superficial cervical plexus and interscalene block were combined to provide surgical anaesthesia for procedures on the clavicle, which are neither selective nor site-specific considering the innervation of the clavicle. The aim was to analyse effectiveness and block dynamics of selectively blocking supraclavicular (SC) nerves and upper trunk (UT) of brachial plexus (SCUT BLOCK) as a site-specific regional anaesthesia strategy for clavicle surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>SC nerves and UT were blocked with 3-ml and 5-ml local anaesthetic, respectively, in 70 American Society of Anesthesiologists I and II patients aged above 18 years, undergoing clavicle surgery. Sensory-motor conduction blockade was assessed in both the plexus territories, following which surgery ensued. Number of patients who exhibited complete conduction blockade of the targeted nerves, number of surgeries completed under the block, intraoperative rescue analgesics, duration of postoperative analgesia and complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sensory and motor mapping showed complete conduction blockade of the targeted nerves in all patients, all other branches were spared. The surgery was completed exclusively under block in 67 (Strategy success rate 96%) out of 70 patients. Intraoperatively, two patients required supplementation of block with a local infiltration and general anaesthesia was administered for one patient. The mean duration of postoperative analgesia was 5 (1.2) hours [mean (standard deviation)]. Only one patient developed ptosis; no other complications were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\u201cThe SCUT block\u201d is an effective site-specific regional anaesthesia strategy for clavicle surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_255_21","type":"journal-article","created":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T08:27:06Z","timestamp":1633422426000},"page":"656-661","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":20,"title":["Selective blockade of supraclavicular nerves and upper trunk of brachial plexus \u201cThe SCUT block\u201d towards a site-specific regional anaesthesia strategy for clavicle surgeries - A descriptive study"],"prefix":"10.4103","volume":"65","author":[{"given":"T","family":"Sivashanmugam","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute (M.G.M.C and R.I), Sri Balaji Vidyapeeth Deemed to be University, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Areti","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Mahatma Gandhi Medical College and Research Institute (M.G.M.C and R.I), Sri Balaji Vidyapeeth Deemed to be University, Puducherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Selvum","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Balaji Hospital, Thirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Diwan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Sancheti Hospital, Pune, Maharshtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Pandian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Abhirami Hospitals, Cuddalore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10,8]]},"reference":[{"key":"-20240902","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/ija.IJA_1121_20","article-title":"Patient satisfaction with regional anaesthesia and general anaesthesia in upper limb surgeries:An open label cross-sectional, prospective, observational clinical comparative study","volume":"65","author":"Suresh","year":"2021","journal-title":"Indian J Anaesth"},{"key":"-20240902","first-page":"115","article-title":"Combined interscalene-superficial cervical plexus block for clavicle surgery:An easy technique to avoid general anesthesia","author":"Reverdy","year":"2015","journal-title":"Br J 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Anaesth"},{"key":"-20240902","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1111\/j.1365-2044.2011.06907.x","article-title":"Ultrasound guided supraclavicular nerve blockade:First technical description and the relevance for shoulder surgery under regional anaesthesia:Correspondence","volume":"66","author":"Maybin","year":"2011","journal-title":"Anaesthesia"},{"key":"-20240902","first-page":"1316","volume":"131","author":"Kang","year":"2019","journal-title":"Superior trunk block provides noninferior analgesia compared with interscalene brachial plexus block in arthroscopic shoulder surgery:Anesthesiology"},{"key":"-20240902","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1097\/ALN.0000000000002841","article-title":"Superior trunk block:A phrenic-sparing alternative to the interscalene block","volume":"131","author":"Kim","year":"2019","journal-title":"Anesthesiology"},{"key":"-20240902","doi-asserted-by":"crossref","first-page":"382","DOI":"10.4103\/ija.IJA_65_19","article-title":"Post-operative analgesia for shoulder arthroscopic surgeries:A comparison between inter-scalene block and shoulder block","volume":"63","author":"Pani","year":"2019","journal-title":"Indian J Anaesth"}],"container-title":["Indian Journal of 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