{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:34:24Z","timestamp":1787070864941,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Interscalene and supraclavicular brachial plexus nerve blocks are routinely used for upper extremity surgeries, although they carry the risk of phrenic nerve involvement, which can lead to diaphragmatic paralysis. The costoclavicular block is a newer block that may mitigate the risk of this complication while providing similar coverage. Our case involves a patient who presented with a displaced distal radius fracture. He received a preoperative single-shot costoclavicular nerve block before undergoing a distal radius open reduction and internal fixation. The patient did not require any opioids or other pain medications intraoperatively or postoperatively in the post-anesthesia care unit. This case supports the utility of using a costoclavicular nerve block for upper extremity surgeries.<\/jats:p>","DOI":"10.4103\/sja.sja_354_24","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T01:53:53Z","timestamp":1735696433000},"page":"105-107","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Costoclavicular block for distal radius open reduction and internal fixation"],"prefix":"10.4103","volume":"19","author":[{"given":"Cassandra","family":"Williams","sequence":"first","affiliation":[{"name":"Anesthesiology Department, Outcomes Research, Cleveland Clinic, Cleveland, OH, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jibran","family":"Ikram","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Outcomes Research, Cleveland Clinic, Cleveland, OH, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Swerchowsky","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Fairview Hospital, Cleveland Clinic, Cleveland, OH, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabry","family":"Ayad","sequence":"additional","affiliation":[{"name":"Anesthesiology Department, Outcomes Research, Cleveland Clinic, Cleveland, OH, United States"},{"name":"Anesthesiology Department, Fairview Hospital, Cleveland Clinic, Cleveland, OH, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"issue":"Suppl 1","key":"R1-20260423","first-page":"e101","article-title":"Advances in regional anaesthesia and acute pain management: A narrative review","volume":"75","author":"Albrecht","year":"2020","journal-title":"Anaesthesia"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/j.bjan.2019.01.004","article-title":"[Ultrasound-guided costoclavicular block as an alternative for upper limb anesthesia in obese patients]","volume":"69","author":"Silva","year":"2019","journal-title":"Braz J Anesthesiol"},{"key":"R4-20260423","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/AAP.0000000000000720","article-title":"The Third American Society of Regional Anesthesia and Pain Medicine Practice Advisory on local anesthetic systemic toxicity: Executive summary 2017","volume":"43","author":"Neal","year":"2018","journal-title":"Reg Anesth Pain Med"},{"key":"R5-20260423","first-page":"221","article-title":"Costoclavicular brachial plexus block facilitates painless upper extremity reduction: A case report","volume":"7","author":"Reeves","year":"2023","journal-title":"Clin Pract Cases Emerg Med"},{"key":"R6-20260423","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/ALN.0000000000003731","article-title":"Median effective volume of 0.5% ropivacaine for ultrasound-guided costoclavicular block","volume":"134","author":"Kewlani","year":"2021","journal-title":"Anesthesiology"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_354_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:37:52Z","timestamp":1787067472000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_354_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_354_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-06-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}