Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/33111
Title: Erector Spinae Plane Block as an Analgesic Intervention in Acute Rib Fractures: A Scoping Review.
Austin Authors: Jiang, Michael ;Peri, Varun ;Ou Yang, Bobby ;Chang, Jaewon;Hacking, Douglas
Affiliation: Anaesthesia
Department of Surgery, St George Hospital, Sydney, New South Wales, Australia.
Issue Date: Jun-2023
Date: 2023
Publication information: Local and Regional Anesthesia 2023
Abstract: Rib fractures are a common sequelae of chest trauma and are associated with significant morbidity. The erector spinae nerve block (ESB) has been proposed as an alternative first-line regional technique for rib fractures due to ease of administration and minimal complication profile. We aimed to investigate the current literature surrounding this topic with a focus on pain and respiratory outcomes. A comprehensive literature search was performed on the Medline, Embase, Web of Science, Scopus, and Cochrane databases. Keywords of "erector spinae block" and "rib fractures" were used to form the search strategy. Papers published in English investigating ESB as an analgesic intervention for acute rib fracture were included. Exclusion criteria were operative rib fixation, or where the indication for ESB was not rib fracture. There were 37 studies which met the inclusion criteria for this scoping review. Of these, 31 studies reported on pain outcomes and demonstrated a 40% decrease in pain scores post administration within the first 24 hours. Respiratory parameters were reported in 8 studies where an increase in incentive spirometry was demonstrated. Respiratory complication was not consistently reported. ESB was associated with minimal complications; only 5 cases of haematoma and infection were (incidence 0.6%) reported, none of which required further intervention. Current literature surrounding ESB in rib fracture management provides a positive qualitative evaluation of efficacy and safety. Improvements in pain and respiratory parameters were almost universal. The notable outcome from this review was the improved safety profile of ESB. The ESB was not associated with complications requiring intervention even in the setting of anticoagulation and coagulopathy. There still remains a paucity of large cohort, prospective data. Moreover, no current studies reflect an improvement in respiratory complication rates compared to current techniques. Taken together, these areas should be the focus of any future research.
URI: https://ahro.austin.org.au/austinjspui/handle/1/33111
DOI: 10.2147/LRA.S414056
ORCID: 0000-0003-2288-5113
Journal: Local and Regional Anesthesia
Start page: 81
End page: 90
PubMed URL: 37334278
Type: Journal Article
Subjects: chest trauma
nerve block
regional anaesthesia
thoracic injury
Appears in Collections:Journal articles

Show full item record

Page view(s)

58
checked on Dec 4, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.