Thoracic paravertebral block versus intravenous patient-controlled analgesia for pain treatment in patients with multiple rib fractures

Objectives To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs). Methods Ninety patients with unilateral MRFs were included i...

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Bibliographic Details
Published in:Journal of international medical research 2017-12, Vol.45 (6), p.2085-2091
Main Authors: Yeying, Ge, Liyong, Yuan, Yuebo, Chen, Yu, Zhang, Guangao, Ye, Weihu, Ma, Liujun, Zhao
Format: Article
Language:English
Subjects:
Clinical Report
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Summary:Objectives To assess the effect of thoracic paravertebral block (PVB) on pain management and preservation of pulmonary function compared with intravenous, patient-controlled analgesia (IVPCA) in patients with multiple rib fractures (MRFs). Methods Ninety patients with unilateral MRFs were included in this prospective study and randomly assigned to the TPVB or IVPCA group. The visual analogue scale (VAS) pain score, blood gas analysis, and bedside spirometry were measured and recorded at different time points after analgesia. Results TPVB and IVPCA provided good pain relief. VAS scores were significantly lower in the TPVB group than in the IVPCA group at rest and during coughing (P 
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060517710068