A novel ultrasound-guided extrapleural nerve block for management of traumatic rib fractures

A novel ultrasound-guided extrapleural nerve block for management of traumatic rib fractures

Published: 06 Feb 2017

© Anaesthesia Cases / 2016-0281 / ISSN 2396-8397

Authors

Dr Sean Speers [1]
Dr Johann Willers [2]
Dr Susie Calderbank [3]
Ms Karen Reeve [4]
Dr Caroline Jenkins [3]
Dr Tom Standley [5]
  • [1] Clinical Fellow, Anaesthesia and Intensive Care Medicine, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Brighton, United Kingdom
  • [2] Associate Specialist, Anaesthetics, Western Sussex Hospitals NHS Foundation Trust, Brighton, United Kingdom
  • [3] Consultant, Anaesthetics, Western Sussex Hospitals NHS Foundation Trust, Brighton, United Kingdom
  • [4] Other, Inpatient Pain Team, Western Sussex Hospitals NHS Foundation Trust, Brighton, United Kingdom
  • [5] Consultant, Anaesthesia and Intensive Care Medicine, Western Sussex Hospitals NHS Foundation Trust, Brighton, United Kingdom

Summary

Multiple rib fractures following blunt trauma to the thorax is common and presents challenges in obtaining satisfactory analgesia control. It can lead to significant morbidity and mortality in high risk patients. We present a novel, safe, ultrasound-guided alternative method to that previously described in the literature for analgesia management of multiple rib fractures with haemothorax.  Our patient received excellent analgesia and avoided a critical care admission.

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