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Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib
Rashmi Syal1, Sadik Mohammed1, Rakesh Kumar1
1All India Institute of Medical Sciences, Department of Anesthesiology and Critical Care, Jodhpur, India.
Background:
The present study explored the role of continuous erector spinae plane (ESP) block for analgesia as well as its impact on pulmonary functions in patients with multiple rib fractures.
Methods:
Ten patients with multiple rib fractures were enrolled after getting informed and written consent. Ultrasound-guided ESP block was performed at the level midway between the fractured ribs followed by the insertion of the catheter. Pre- and post-block VAS score, hemodynamics, respiratory rate (RR), peripheral oxygen saturation (SpO2), inspiratory capacity (IC), blood gases (PaO2 and PCO2), and complications were compared.
Results:
Pain scores at rest as well as on movement showed a significant reduction from 5.9 and 7.5 pre block to 1.6 and 2.5 respectively at 96.ßhours (p.ß<.ß0.0001). Similarly, RR, SpO2, IC, and PaO2 were significantly better after the block placement (p.ß<.ß0.001).
Conclusion:
Continuous ESP block provide adequate analgesia with better respiratory functions in patients with multiple rib fractures.
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