The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: a retrospective cohort study

Summary Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. The erector spinae plane block has become the technique of choice in our institution due to its relative simplicity and purported safety. The aim of this retrospective coho...

Full description

Saved in:
Bibliographic Details
Published in:Anaesthesia 2019-05, Vol.74 (5), p.585-593
Main Authors: Adhikary, S. D., Liu, W. M., Fuller, E., Cruz‐Eng, H., Chin, K. J.
Format: Article
Language:English
Subjects:
Analgesia
Analgesics
Anesthesia
Blood pressure
Cohort analysis
Construction
Electronic health records
Electronic medical records
Fractures
Hemodynamics
Narcotics
nerve block
Opioids
Pain
pain management: rib fracture
Pain perception
Patients
regional anaesthesia
Respiration
Respiratory function
Rib cage
Stability
Trauma
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. The erector spinae plane block has become the technique of choice in our institution due to its relative simplicity and purported safety. The aim of this retrospective cohort study was to determine its effectiveness in improving respiratory and analgesic outcomes. We reviewed electronic medical records of patients with traumatic rib fractures admitted to a level‐one trauma centre between January 2016 and July 2017, who also received erector spinae plane blocks. We analysed the following outcomes before and up to 72 h after erector spinae plane blockade: incentive spirometry volume; maximum numerical rating scale static pain scores; and 12‐h opioid consumption. Pre‐ and post‐block data were compared. We included 79 patients, 77% of whom received continuous erector spinae plane block for a mean (SD) of 3.7 (1.9) days. The majority (85%) had other associated injuries. Incentive spirometry volumes improved from 784 (694) to 1375 (667) ml (p 
ISSN:0003-2409
1365-2044
DOI:10.1111/anae.14579