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<p>This CME article describes the current developments in peripheral regional anesthesia for shoulder dislocation, clavicle fractures and (serial) rib fractures. Ultrasound-guided regional anesthesia techniques are increasingly replacing analgesic sedation or general anesthesia for shoulder reduction, combining pain relief and muscle relaxation with greater safety. In clavicle fractures, the midclavicular block provides targeted analgesia without motor impairment as an alternative to established combined block of the brachial plexus and cervical plexus. For serial rib fractures, fascial plane blocks, such as the serratus anterior and erector spinae plane blocks are recommended as safe alternatives to potent neuraxial techniques. Regional anesthesia thus enables effective, resource-efficient, and patient-friendly pain management in routine trauma care.</p>

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Update Periphere Regionalanästhesie

  • 期刊论文

  • 发表日期：

    2026年2月11日

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  • Rebecca Heinen,
  • Ann-Kristin Schubert,
  • Dimitar Palashev,
  • Georg Feigl,
  • Thomas Wiesmann

摘要

This CME article describes the current developments in peripheral regional anesthesia for shoulder dislocation, clavicle fractures and (serial) rib fractures. Ultrasound-guided regional anesthesia techniques are increasingly replacing analgesic sedation or general anesthesia for shoulder reduction, combining pain relief and muscle relaxation with greater safety. In clavicle fractures, the midclavicular block provides targeted analgesia without motor impairment as an alternative to established combined block of the brachial plexus and cervical plexus. For serial rib fractures, fascial plane blocks, such as the serratus anterior and erector spinae plane blocks are recommended as safe alternatives to potent neuraxial techniques. Regional anesthesia thus enables effective, resource-efficient, and patient-friendly pain management in routine trauma care.