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- W4387497384 abstract "<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Not relevant (see information at the bottom of this page) <h3>Background and Aims</h3> Rib fractures are common in polytrauma patients and require effective analgesia to prevent respiratory complications. Optimal pain management requires multimodal approach including regional anesthesia. Ultrasound-guided erector spinae plane block (ESPB) with catheter placement allows good pain control, improves respiratory outcomes and has negligible risk. Our aim was to present a case series of 11 patients with multiple rib fractures whom thoracic ESPB with catheter placement was performed for analgesia. <h3>Methods</h3> We present a case series of 11 patients, between 41-80 y-old and mostly ASA II whom thoracic ESPB was performed for pain management. All patients were referred to the acute pain unit due to uncontrolled pain and/or worsening respiratory function. Thoracic ESPB with catheter placement was performed and an analgesic regimen such as PCA (infusion and/or bolus) or PIEB was applied. <h3>Results</h3> The number of broken ribs varied from 5-10, and in one of the cases the patient had bilateral rib fractures. Four received non-invasive ventilation and 2 mechanical invasive ventilation. Six of them had pulmonary contusion, 3 evolved to pulmonary infection. Nine patients were under PCA (infusion and/or bolus) and 2 patients under PIEB regimen. In all patients ropivacaine 0,2% was the chosen local anesthetic. In all cases there was an improvement in pain scores 24h after ESPB. The mean PaO2/FiO2 ratio was higher in all patients 24h after catheter placement. <h3>Conclusions</h3> Further investigation on ESPB with catheter placement should be made as it may be an alternative to epidural or thoracic paravertebral block in patients with multiple rib fractures." @default.
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- W4387497384 date "2023-09-01" @default.
- W4387497384 modified "2023-10-12" @default.
- W4387497384 title "#36435 Thoracic ESP block: a case series in trauma patients" @default.
- W4387497384 doi "https://doi.org/10.1136/rapm-2023-esra.558" @default.
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