Year 2020 / Volume 27 / Number 4

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Cilinical Note

Continuous analgesic control in a patient with multiple rib fractures by placing a catheter in the deep plane of the erector muscle of the spine

Rev. Soc. Esp. Dolor. 2020; 27(4): 269-272 / DOI: 10.20986/resed.2020.3800/2020

Álvaro Manuel Gasalla, Enrique Domínguez, José Manuel López, Bárbara M. Jiménez, Gustavo Illodo


ABSTRACT

Rib fractures have a high prevalence in our society.
An adequate and precocious analgesic control is essential to avoid respiratory complications and favor a rapid functional recovery in patients with rib fractures.
Different strategies have been used for analgesic control, from intravenous drugs to more classic regional techniques such as epidural catheter or thoracic paravertebral block.
Ultrasound-guided blockade of the deep plane of the erector spine muscle (ESPB) is an effective alternative in the management of acute pain derived from rib fractures, allowing physiotherapy and early rehabilitation.



RESUMEN

Las fracturas costales tienen una elevada prevalencia en nuestra sociedad.
Un adecuado y precoz control analgésico resulta fundamental a la hora de evitar complicaciones respiratorias y favorecer una rápida recuperación funcional en los pacientes con fracturas costales.
Se han empleado diferentes estrategias para dicho control analgésico, desde fármacos intravenosos hasta técnicas regionales más clásicas como el catéter epidural o el bloqueo paravertebral torácico.
El bloqueo ecoguiado del plano profundo del músculo erector de la espina (ESPB) constituye una alternativa eficaz en el manejo del dolor agudo derivado de las fracturas costales, permitiendo una fisioterapia y rehabilitación precoz.





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Gasalla Á, Domínguez E, López J, Jiménez B, Illodo G. Continuous analgesic control in a patient with multiple rib fractures by placing a catheter in the deep plane of the erector muscle of the spine . Rev Soc Esp Dolor 2020; 27(4): 269-272 / DOI: 1020986/resed20203800/2020


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Publication history

Received: 10/03/2020

Accepted: 06/05/2020

Online First: 08/05/2020

Published: 04/08/2020

Article revision time: 45 days

Article Online First time: 59 days

Article editing time: 147 days


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