Background

The present study explored the role of continuous erector spinae plane (ESP) block for analgesia as well as its impact on pulmonary functions in patients with multiple rib fractures.

Methods

Ten patients with multiple rib fractures were enrolled after getting informed and written consent. Ultrasound-guided ESP block was performed at the level midway between the fractured ribs followed by the insertion of the catheter. Pre and post-block VAS score, hemodynamics, respiratory rate (RR), peripheral oxygen saturation (SpO₂), inspiratory capacity (IC), blood gases (PaO₂ and PCO₂), and complications were compared.

Results

Pain scores at rest as well as on movement showed a significant reduction from 5.9 and 7.5 pre block to 1.6 and 2.5 respectively at 96 hours (p < 0.0001). Similarly, RR, SpO₂, IC, and PaO₂ were significantly better after the block placement (p < 0.001).

Conclusion

Continuous ESP block provide adequate analgesia with better respiratory functions in patients with multiple rib fractures.