Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study

IF 1.7 4区医学 Q2 ANESTHESIOLOGY Brazilian Journal of Anesthesiology Pub Date : 2024-01-01 DOI:10.1016/j.bjane.2021.09.010

Rashmi Syal, Sadik Mohammed, Rakesh Kumar, Nidhi Jain, Pradeep Bhatia

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Abstract

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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多发性肋骨骨折患者持续竖脊肌平面阻滞镇痛并改善肺功能：一项前瞻性描述性研究

背景本研究探讨了连续性竖脊肌（ESP）阻滞在多发性肋骨骨折患者中的镇痛作用及其对肺功能的影响。在超声引导下，在骨折肋骨中间位置进行 ESP 阻滞，然后插入导管。对阻滞前后的VAS评分、血液动力学、呼吸频率（RR）、外周血氧饱和度（SpO2）、吸气能力（IC）、血气（PaO2和PCO2）和并发症进行了比较。结果休息时和运动时的疼痛评分分别从阻滞前的5.9分和7.5分显著降低到96.ß小时时的1.6分和2.5分（p.ß<.ß0.0001）。同样，阻滞后的RR、SpO2、IC和PaO2也有明显改善（p.ß< .ß0.001）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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