The Erector Spinae Plane Block (ESPB) is a technically simple and safe form of regional anaesthesia that can provide effective analgesia for 12 hours in patients with acute posterior rib fractures
The SAPB is a technically simple and safe form of regional anaesthesia that provides effective analgesia in patients with acute anterolateral rib fractures
Chest trauma is very painful as rest is not possible, pain is experienced with every breath. A multi-modal approach ideal with MDT involvement (ICU, anaesthesia and pain)
Rib fractures are associated with significant morbidity, especially in the elderly and especially if multiple fractures are present. Apart from being humane, optimal analgesia may help prevent respiratory deterioration
A 22 year old man is brought in by ambulance after a rugby injury - he was sandwiched between two players. He is complaining of left lower anterolateral chest pain worse with inspiration.
the case. 46 year old male is bought into your resuscitation bay by local ambulance following a three metre fall from a work platform onto a horizontal metal railing below.