352: Thoracic Paravertebral Block (TPVB): Use in Managing Complications of Multiple Rib Fractures

2008 ◽  
Vol 33 (5) ◽  
pp. e245-e245
Author(s):  
A ELMOWAG ◽  
A NIAZI
Keyword(s):  
Rib Fractures ◽  
Paravertebral Block ◽  
Thoracic Paravertebral Block ◽  
Multiple Rib Fractures

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

2017 ◽  
Vol 45 (6) ◽  
pp. 2085-2091 ◽  
Author(s):  
Ge Yeying ◽  
Yuan Liyong ◽  
Chen Yuebo ◽  
Zhang Yu ◽  
Ye Guangao ◽  
...  
Keyword(s):  
Pain Relief ◽  
Pulmonary Function ◽  
Pain Treatment ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Rib Fractures ◽  
Paravertebral Block ◽  
Patient Controlled Analgesia ◽  
Thoracic Paravertebral Block ◽  
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 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 < 0.05). Patients in the TPVB group had a higher PaO2 and PaO2/FiO2 and lower P(A–a)O2 compared with the IVPCA group ( P < 0.05). Moreover, patients in the TPVB group showed higher FVC, FEV1/FVC, and PEFR, and fewer complications than did the IVPCA group ( P < 0.05). Conclusion TPVB is superior to IVPCA in pain relief and preservation of pulmonary function in patients with MRFs.

Ultrasound-Guided Continuous Thoracic Paravertebral Block for Outpatient Acute Pain Management of Multilevel Unilateral Rib Fractures

2013 ◽  
Vol 116 (1) ◽  
pp. 255-257 ◽  
Author(s):  
Hiroaki Murata ◽  
Emine Aysu Salviz ◽  
Stephanie Chen ◽  
Catherine Vandepitte ◽  
Admir Hadzic
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Rib Fractures ◽  
Paravertebral Block ◽  
Ultrasound Guided ◽  
Acute Pain Management ◽  
Thoracic Paravertebral Block

Paravertebral block restore diaphragmatic motility measured by ultrasonography in patients with multiple rib fractures

2017 ◽  
Vol 42 ◽  
pp. 55-56 ◽  
Author(s):  
Benoît Bataille ◽  
Bastian Nucci ◽  
Jade De Selle ◽  
Michel Mora ◽  
Pierre-Etienne Moussot ◽  
...  
Keyword(s):  
Rib Fractures ◽  
Paravertebral Block ◽  
Multiple Rib Fractures
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