{"title":"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","authors":"Rashmi Syal, Sadik Mohammed, Rakesh Kumar, Nidhi Jain, Pradeep Bhatia","doi":"10.1016/j.bjane.2021.09.010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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 (SpO<sub>2</sub>), inspiratory capacity (IC), blood gases (PaO<sub>2</sub> and PCO<sub>2</sub>), and complications were compared.</p></div><div><h3>Results</h3><p>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 (<em>p</em>.ß<.ß0.0001). Similarly, RR, SpO<sub>2</sub>, IC, and PaO<sub>2</sub> were significantly better after the block placement (<em>p</em>.ß<.ß0.001).</p></div><div><h3>Conclusion</h3><p>Continuous ESP block provide adequate analgesia with better respiratory functions in patients with multiple rib fractures.</p></div>","PeriodicalId":32356,"journal":{"name":"Brazilian Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0104001421003614/pdfft?md5=ff56d4a2702ff9f21753b9add677f53a&pid=1-s2.0-S0104001421003614-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study\",\"authors\":\"Rashmi Syal, Sadik Mohammed, Rakesh Kumar, Nidhi Jain, Pradeep Bhatia\",\"doi\":\"10.1016/j.bjane.2021.09.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>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.</p></div><div><h3>Methods</h3><p>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 (SpO<sub>2</sub>), inspiratory capacity (IC), blood gases (PaO<sub>2</sub> and PCO<sub>2</sub>), and complications were compared.</p></div><div><h3>Results</h3><p>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 (<em>p</em>.ß<.ß0.0001). Similarly, RR, SpO<sub>2</sub>, IC, and PaO<sub>2</sub> were significantly better after the block placement (<em>p</em>.ß<.ß0.001).</p></div><div><h3>Conclusion</h3><p>Continuous ESP block provide adequate analgesia with better respiratory functions in patients with multiple rib fractures.</p></div>\",\"PeriodicalId\":32356,\"journal\":{\"name\":\"Brazilian Journal of Anesthesiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0104001421003614/pdfft?md5=ff56d4a2702ff9f21753b9add677f53a&pid=1-s2.0-S0104001421003614-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brazilian Journal of Anesthesiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0104001421003614\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brazilian Journal of Anesthesiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0104001421003614","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study
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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