الفهرس 
Definition of pain
Pain management in multiple fractured ribsOnly 14 pages are availabe for public view
 |  | from | 181 |  |  |
| | | from | 181 | | |
Abstract
Summary The thoracic pain caused by rib fractures or chest contusion limits patients to cough and breathe deeply, which can result in atelectasis and pneumonia. And the cornerstone of management of rib fractures is aggressive treatment of this pain. Ultrasound guided regional techniques have been shown to be associated with fewer side effects and greater efficacy when compared to systemic therapy in patients with multiple rib fractures. TPVB is very effective for pain relief in cases with rib fractures even though there is still the fact that paravertebral space is in close proximity to the pleura and central neuraxial system ESP is a technique where LA is injected to interfacial plane between the transverse process of the vertebra and the erector spinae muscles. And it proved efficacy in analgesia in patients with multiple fracture ribs The aim of this work was to compare the efficacy and safety of thoracic paravertebral block versus erector spinae plane block in patients with multiple fractured ribs. This study included Sixty patients, aged 18 years, of both sexes presented with unilateral multiple fractured ribs (≥ 3 ribs) and they were randomly allocated into two groups. group I received ultrasound guided TPVB. A bolus dose of bupivacaine 0.25% in a volume of 20 mL was injected and this was followed by a continuous infusion of bupivacaine 0.25% at a rate of 0.1 mL/kg/hr.