Bibliographic Details
| Title: |
Ultrasound-guided coracobrachialis plane musculocutaneous nerve block for perioperative analgesia in pediatric Gartland type III supracondylar humerus fracture: a prospective pilot study |
| Authors: |
Tianyi Gao, Zhuorun Song, Shunyi Lu, Nan Song, Wentao Yu, Huilin Yang, Jun Zou, Qian Wang, Jun Ge |
| Source: |
Frontiers in Pediatrics, Vol 13 (2025) |
| Publisher Information: |
Frontiers Media S.A., 2025. |
| Publication Year: |
2025 |
| Collection: |
LCC:Pediatrics |
| Subject Terms: |
coracobrachialis plane, musculocutaneous nerve block, pediatric supracondylar humerus fracture, perioperative analgesia, pain management, prospective pilot study, Pediatrics, RJ1-570 |
| More Details: |
PurposePerioperative pain management in children with Gartland Type III supracondylar humerus fractures (SHF) is crucial but often inadequately addressed, leading to significant pain experiences. This study aimed to evaluate the efficacy and safety of coracobrachialis plane musculocutaneous nerve block (Cora-MNB) compared to supraclavicular brachial plexus block (SC-BPB) for analgesia in pediatric Gartland Type III SHF patients.MethodsA prospective pilot study enrolled 105 pediatric patients with Gartland Type III SHF was performed. Primary outcome was the postoperative FLACC scale measured at 12 h postoperatively. Secondary outcomes included FLACC scale measured at 1 h, 6 h and 24 h postoperatively. They also included postoperative thumb and shoulder strength, opioid use, NSAIDs use, length of hospital stays, patient satisfaction, surgeon satisfaction, operation time and puncture channels. One hundred and five patients were randomized allocated between groups.ResultsPatients receiving Cora-MNB showed superior analgesia, with median postoperative FLACC pain scores at 12 h reduced by 40% [Cora-MNB: 3.00 (2.00) vs. SC-BPB: 5.00 (2.00), ***p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2296-2360 |
| Relation: |
https://www.frontiersin.org/articles/10.3389/fped.2025.1485277/full; https://doaj.org/toc/2296-2360 |
| DOI: |
10.3389/fped.2025.1485277 |
| Access URL: |
https://doaj.org/article/740a6c83619b4c8f9edbb4c8ab521484 |
| Accession Number: |
edsdoj.740a6c83619b4c8f9edbb4c8ab521484 |
| Database: |
Directory of Open Access Journals |
