Regional anaesthesia

Evaluation of the Analgesic Efficacy of the Serratus Posterior Superior Intercostal Plane Block in Patients with Isolated Rib Fractures: A Case Series

J Cardiothorac Vasc AnesthPublished Retrospective case series

Authors' conclusion

SPSIPB may provide effective and prolonged analgesia in patients with isolated rib fractures.

Study context

Population
Adults with unilateral isolated rib fractures followed in a thoracic surgery department, tertiary academic medical center
Participants
17 adults
Outcome
Pain scores (NRS) before block and at multiple time points
Follow-up
Up to 36 hours
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Pain scores (NRS)
  • Numeric Rating Scale (NRS) scores decreased significantly after block application and remained low in most patients, with a tendency to increase at 36 hours

Observational data: associations, not effects.

Further findings

Opioid (tramadol) consumption during follow-up

Patients requiring no opioid
9
Patients consuming 50 mg tramadol
5
Patients consuming 100 mg tramadol
3
  • Rescue IV tramadol 50 mg when NRS ≥4

Dermatomal spread

Predominantly between C5 and T8

Original publication

Evaluation of the Analgesic Efficacy of the Serratus Posterior Superior Intercostal Plane Block in Patients with Isolated Rib Fractures: A Case Series. J Cardiothorac Vasc Anesth. Published 27 June 2026. doi:10.1053/j.jvca.2026.06.043

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.