Erector Spinae Plane Blocks with Dexmedetomidine and Dexamethasone for the Treatment of Pain Associated with Rib Fractures: Case Report.

Pain medicine case reports Pub Date : 2024-04-01

Sagar Patel, Courtney Tran, Sarah Stevens, Carly Liquori, Jonathan Eskander

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Abstract

Background: The erector spinae plane block (ESPB) is an ultrasound-guided approach for acute pain management in patients with single or multiple rib fractures. The addition of a dexmedetomidine and dexamethasone (Dex-Dex) solution to an ESPB injection has been shown to provide longer-lasting pain control in rib-fracture patients. Adding a Dex-Dex adjunct to an ESPB injection diminishes the need for more invasive techniques used in longer-lasting pain management, such as ESPB catheter placements.

Case report: We present 2 cases of rib fractures, one in a 79-year-old woman and the other in an 82-year-old-man. Both patients received a single ESPB injection with Dex-Dex to provide longer-lasting pain control. After the procedure, both patients reported a significant reduction in pain and no complications to the intervention.

Conclusion: The successful analgesic management of both patients' conditions suggests that a single ESPB injection with Dex-Dex can be used as an alternative to traditional management techniques such as catheter placements.

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右美托咪定和地塞米松联合应用竖立者脊柱平面阻滞治疗肋骨骨折相关疼痛：病例报告

背景：竖脊机脊柱平面阻滞（ESPB）是超声引导下治疗单肋或多肋骨折患者急性疼痛的一种方法。在ESPB注射中加入右美托咪定和地塞米松（Dex-Dex）溶液已被证明可以为肋骨骨折患者提供更持久的疼痛控制。在ESPB注射中添加Dex-Dex辅助剂，减少了在更持久的疼痛管理中使用更具侵入性的技术的需求，例如ESPB导管的放置。病例报告：我们提出2例肋骨骨折，一个在79岁的女性和另一个在82岁的男性。两名患者均接受单次ESPB注射Dex-Dex，以提供更持久的疼痛控制。手术后，两名患者均报告疼痛明显减轻，无并发症。结论：两例患者的镇痛治疗均成功，表明单次ESPB注射Dex-Dex可作为传统管理技术（如置管）的替代方法。

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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Pain medicine case reports

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