Year 2019 / Volume 26 / Number 3

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Cilinical Note

Erector spinae plane block for multiple unilateral ribs fractures.

Rev. Soc. Esp. Dolor. 2019; 26(3): 199-202 / DOI: 10.20986/resed.2019.3687/2018

Juan Felipe Vargas Silva, Cesar Edwin Vela Izquierdo, Laura Nathaly Ricaurte Gracia, Juan Orlando Castillo Rodriguez, Antonio Isac Aparicio Negrete


ABSTRACT

Rib fractures are common lesions, being present in 10% of patients with closed chest trauma. It is not a serious pathology, but it is an indicator of morbidity and mortality. The risk complications, specially the pulmonary mechanics compromise of the affected patient makes it imperative to achieve optimal pain control. What makes multimodal analgesia an important pillar in the management of this entity, within this, the blocks with local anesthetic use, play an important role.
Recently, the erector spinae plan block (ESP) with different analgesic purposes has been described given its anatomical coverage. This technique has been implemented for management of several painful syndromes and compromises with considerable success.
This report attempts to describe the erector spinae plan block for analgesic control in a patient with several thorax fractures secondary to multiple trauma.



RESUMEN

Las fracturas costales son lesiones comunes, estando presentes en el 10 % de los pacientes con trauma cerrado de tórax. No es una patología grave, pero puede comportarse como un buen indicador de morbimortalidad en el paciente que las padece. El riesgo de complicaciones, especialmente el compromiso de la mecánica pulmonar del paciente afectado, hace imperativo lograr un control óptimo del dolor, lo que convierte a la analgesia multimodal en un pilar importante en el manejo de esta entidad, constituyendo el uso de bloqueos con anestésico local un aspecto importante.
Recientemente se ha descrito la utilización del bloqueo del músculo erector espinal con fines analgésicos dado su alcance anatómico; esta técnica se ha implementado para el manejo de varios síndromes dolorosos con buenos resultados.
Este artículo describe el uso del bloqueo del erector espinal para el control analgésico en un paciente con fracturas de tórax secundarias a un politraumatismo.


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Instrucciones para citar

Vargas Silva J, Vela Izquierdo C, Ricaurte Gracia L, Castillo Rodriguez J, Aparicio Negrete A. Erector spinae plane block for multiple unilateral ribs fractures.. Rev Soc Esp Dolor 2019; 26(3): 199-202 / DOI: 1020986/resed20193687/2018


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Ficha Técnica

Recibido: 04/05/2018

Aceptado: 20/01/2019

Prepublicado: 13/05/2019

Publicado: 28/05/2019

Tiempo de revisión del artículo: 255 días

Tiempo de prepublicación: 374 días

Tiempo de edición del artículo: 389 días


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