Erector spinae plane block may aid weaning from mechanical ventilation in patients with multiple rib fractures: Case report of two cases

Indian Journal of Anaesthesia
Amar NandhakumarD Dhatchinamoorthi

Abstract

Uncontrolled pain in patients with rib fracture leads to atelectasis and impaired cough which can progress to pneumonia and respiratory failure necessitating mechanical ventilation. Of the various pain modalities, regional anaesthesia (epidural and paravertebral) is better than systemic and oral analgesics. The erector spinae plane block (ESPB) is a new modality in the armamentarium for the management of pain in multiple rib fractures, which is simple to perform and without major complications. We report a case series where ESPB helped in weaning the patients from mechanical ventilation. Further randomised controlled studies are warranted in comparing their efficacy in relation to other regional anaesthetic techniques.

Associated Clinical Trials

Citations

Jan 10, 2019·Minerva anestesiologica·Alessandro De CassaiTommaso Tonetti
Nov 7, 2019·The Journal of Trauma and Acute Care Surgery·Anthony M-H HoManoj K Karmakar
Mar 20, 2019·Korean journal of anesthesiology·Pablo KotJose De Andrés
Mar 17, 2020·Journal of Anaesthesiology, Clinical Pharmacology·Ritesh RoyDebasis Kuanar
Feb 6, 2021·Indian Journal of Anaesthesia·Zhi Yuen BehPremela Naidu Sitaram
Mar 3, 2021·The Journal of Surgical Research·Linda A DultzMichael W Cripps
May 14, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dongsheng ZhangGuoliang Zhang
Oct 7, 2018·Journal of Clinical Anesthesia·Ban C H TsuiThomas J Caruso

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