Vol. 27 No. 4 (2020), Cilinical Note
Vol. 27 No. 4 (2020)

Continuous analgesic control in a patient with multiple rib fractures by placing a catheter in the deep plane of the erector muscle of the spine

Cilinical Note
Published 2020-08-04
Álvaro Manuel Gasalla Cadórniga
Hospital Universitario Lucus Augusti
Enrique Domínguez Suárez
Hospital Universitario Lucus Augusti image/svg+xml
José Manuel López González
Hospital Universitario Lucus Augusti image/svg+xml
Bárbara M. Jiménez Gómez
Hospital Universitario Lucus Augusti image/svg+xml
Gustavo Illodo Miramontes
EOXI de Vigo
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Keywords

Rib fracturas
block the deep plane of the erector muscle of the spine
neural blocks intervencionism ultrasound
patient control analgesia.

Abstract

Rib fractures have a high prevalence in our society. An adequate and precocious analgesic control is essential to avoid respiratory complications and favor a rapid functional recovery in patients with rib fractures. Different strategies have been used for analgesic control, from intravenous drugs to more classic regional techniques such as epidural catheter or thoracic paravertebral block. Ultrasound-guided blockade of the deep plane of the erector spine muscle (ESPB) is an effective alternative in the management of acute pain derived from rib fractures, allowing physiotherapy and early rehabilitation.
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References

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