Case report: ultrasound-guided continuous thoracic paravertebral block for outpatient acute pain management of multilevel unilateral rib fractures.

Abstract

A 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter placement. This report also discusses the management of analgesia using continuous paravertebral block in an outpatient with trauma.

• Authors: Hiroaki Murata, Emine Aysu Salviz, Stephanie Chen, Catherine Vandepitte, Admir Hadzic
• Journal: Anesthesia and analgesia (Anesth Analg) Vol. 116 Issue 1 Pg. 255-7 (Jan 2013) ISSN: 1526-7598 [Electronic] United States
• PMID: 23223111 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics, Local

Topics

• Anesthetics, Local (administration & dosage)
• Bicycling (injuries)
• Humans
• Lung (diagnostic imaging)
• Male
• Middle Aged
• Needles
• Nerve Block (methods)
• Outpatients
• Pain (etiology)
• Pain Management (methods)
• Pain Measurement
• Rib Fractures (complications, therapy)
• Thoracic Vertebrae (diagnostic imaging)
• Ultrasonography, Interventional (methods)