Acute Pain
Volume 10, Issue 1 , Pages 39-44 , March 2008

Continuous paravertebral block for pain relief in unilateral multiple rib fracture: A case series

  • Aditya Nath Shukla

      Affiliations

    • Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang, Malaysia
    • Department of Anaesthesiology and Intensive care, Hospital Seberang Jaya, Jln Tun Hussein 13700, Seberang Jaya, Penang, Malaysia
    • Corresponding Author InformationCorresponding author at: Advanced Medical and Dental Institute, No. 29, Lorong Bertam Indah 4/9, 13200 Kepala Batas, Penang, Malaysia. Tel.: +60 45792006x109; fax: +60 45791570.
    • ,
  • Zainab Bt Abdul Ghaffar

      Affiliations

    • Department of Anaesthesiology and Intensive care, Hospital Seberang Jaya, Jln Tun Hussein 13700, Seberang Jaya, Penang, Malaysia
    • ,
  • Ang Chin Auang

      Affiliations

    • Department of Anaesthesiology and Intensive care, Hospital Seberang Jaya, Jln Tun Hussein 13700, Seberang Jaya, Penang, Malaysia
    • ,
  • Usha Rajah

      Affiliations

    • Department of Anaesthesiology and Intensive care, Hospital Seberang Jaya, Jln Tun Hussein 13700, Seberang Jaya, Penang, Malaysia
    • ,
  • Lawrance Tan

      Affiliations

    • Department of Anaesthesiology and Intensive care, Hospital Seberang Jaya, Jln Tun Hussein 13700, Seberang Jaya, Penang, Malaysia

Received 19 March 2007 ,Revised 16 August 2007 ,Accepted 21 October 2007.

References 

  1. Mayberry JC, Trunkey DD. The fractured rib in chest wall trauma. Chest Surgical Clin N Am. 1997;7:239–261
  2. Ziegler DW, Agarwal NN. Morbidity and mortality of rib fracture. J Trauma. 1994;37:975–979
  3. Karmakar MK, Lester AHC, Anthony MHHo, Gin T, Tak WL, Anthony PCY. Continuous thoracic paravertebral infusion of Bupivacaine for pain management in patients with multiple fractured ribs. Chest. 2003;123:424–431
  4. Karmakar MK, Kowk WH, Kew J. Thoracic paravertebral block: radiological evidence of contralateral spread anterior to vertebral bodies. Br J Anaesth. 2000;84:263–265
  5. Williamson S, Kumar CM. Paravertebral block in head injured patient with chest trauma. Anaesthesia. 1997;52:284–285
  6. Karmakar MK, Chui PT, Joynt GM, Ho AM. Thoracic paravertebral block for management of pain associated with multiple rib fractures in patient with concomitant lumbar spinal trauma. Reg Anesth Pain Med. 2001;26:169–173
  7. Eason MJ, Wyatt R. Paravertebral thoracic block: a reappraisal. Anaesthesia. 1979;34:638–642
  8. Jones KW. Thoracic trauma. Surg Clin North Am. 1980;67:957
  9. Naja Z, Lonnqvist P-A. Somatic paravertebral nerve block. Anaesthesia. 2001;56:1184–1188
  10. Dauphin A, Gupta RN, Young JE, Morton D. Serum Bupivacaine concentrations during continuous extrapleural infusion. Can J Anaesth. 1997;44:367–370
  11. Kirkwood CF, Edwards DJ, Lalka D, Lasezkay G, Hassett JM, Slaughter RL. The pharmacokinetics of Meperidine in acute trauma patients. J Trauma. 1986;26:1090–1093
  12. Shanti CM, Carlin AM, Tyburski JG. Incidence of pneumothorax from intercostal nerve block for analgesia in rib fracture. J Trauma. 2001;51:536–539

PII: S1366-0071(07)00189-1

doi: 10.1016/j.acpain.2007.10.020

Acute Pain
Volume 10, Issue 1 , Pages 39-44 , March 2008

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