An ultrasound‐guided serratus anterior plane block with continuous local anaesthetic infusion and epidural analgesia for rib fracture pain
Authors' conclusion
SAPB with continuous local anaesthetic infusion is an effective alternative to treat rib fracture pain when EA is contraindicated.
Study context
- Population
- Patients with unilateral multiple traumatic rib fractures and numerical rating scale (NRS) pain score ≥4 at rest or upon movement
- Participants
- 59 patients
- Comparison
- Serratus anterior plane block (SAPB) vs epidural analgesia (EA)
- Primary endpoint
- Change in NRS score at rest and upon movement from baseline
- Follow-up
- Day 2 following the block
Primary result
As reported in the abstract
NRS reduction upon movement within 1 h · within 1 h
SAPB
3
mean
EA
4.7
mean
Further findings
FEV1% · first 12 h
- FEV1% increased from baseline in the EA group
Patient-controlled analgesia (PCA) oxycodone consumption · 24 and 48 h
- Did not differ between groups
Original publication
An ultrasound‐guided serratus anterior plane block with continuous local anaesthetic infusion and epidural analgesia for rib fracture pain. Acta Anaesthesiol Scand. Published 7 November 2023. doi:10.
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