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Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

December 10, 2024/49 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

Vol 5 | Issue 2 | July-December 2024 | Page 23-26 | Navveen PM, Sandeep Diwan DOI: https://doi.org/10.13107/ijra.2024.v05.i02.102 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: February 22-11-2024; Reviewed: 28-11-2024; Accepted: 08-12-2024; Published: 10-12-2024 Authors: Navveen PM [1], Sandeep Diwan [2] [1] AORA Fellow, Sancheti Hospital for Orthopaedics and […]

C5 Anomaly and Scalene Muscle Variation- Case Report

December 10, 2024/39 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

Vol 5 | Issue 2 | July-December 2024 | Page 20-22 | Reshma Nath, Sandeep Diwan DOI: https://doi.org/10.13107/ijra.2024.v05.i02.100 Open Access License: CC BY-NC 4.0 Copyright Statement: Copyright © 2024; The Author(s). Submitted: February 19-11-2024; Reviewed: 26-11-2024; Accepted: 05-12-2024; Published: 10-12-2024 Authors: Reshma Nath [1], Sandeep Diwan [2] [1] AORA Fellow, Sancheti Hospital for Orthopaedics and […]

Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

December 10, 2024/49 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

C5 Anomaly and Scalene Muscle Variation- Case Report

December 10, 2024/39 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

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Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

December 10, 2024/49 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

Vol 5 | Issue 2 | July-December 2024 | Page 23-26 | Navveen PM, Sandeep Diwan

DOI: https://doi.org/10.13107/ijra.2024.v05.i02.102

Open Access License: CC BY-NC 4.0

Submitted: February 22-11-2024; Reviewed: 28-11-2024; Accepted: 08-12-2024; Published: 10-12-2024

Authors: Navveen PM [1], Sandeep Diwan [2]

[1] AORA Fellow, Sancheti Hospital for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
[2] Department of Anaesthesiology, Sancheti Hospital for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Address of Correspondence

Dr. Navveen PM
Department of Anaesthesia, Sancheti Institute of orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Email id: dr.navveen@gmail.com

Abstract

Patients with chest trauma have high morbidity due to rib fractures, lung contusion, hemo/pneumothorax leading to prolonged hospital stay. Adequate pain relief is the key for early recovery following rib fracture. Pain due rib fracture can cause lung atelectasis, flail chest, hypoventilation leading to hypoxia, respiratory failure and further pulmonary complications. Erector spinae plane (ESP) block is an inter-fascial plane block which has been proposed as a regional anaesthesia technique in acute pain management for multiple rib fractures (MRF’s).
Keywords: Multiple rib fracture, Chest trauma, Erector spinae plane block.

References

1. Kuo K, Kim AM. Rib Fracture. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541020/
2. Thoracic Paravertebral Analgesia Through a New Multiple-Hole Catheter- 2016/04/01. doi: 10.1053/j.jvca.2015.09.016. DO – 10.1053/j.jvca.2015.09.016. Journal of Cardiothoracic and Vascular Anesthesia
3. Kumar G, Kumar Bhoi S, Sinha TP, Paul S. Erector spinae plane block for multiple rib fracture done by an Emergency Physician: A case series. Australas J Ultrasound Med. 2020 Aug 30;24(1):58-62. doi: 10.1002/ajum.12225. PMID: 34760612; PMCID: PMC8412024.
4. Diwan S, Garud R, Nair A. Thoracic paravertebral and erector spinae plane block: A cadaveric study demonstrating different site of injections and similar destinations. Saudi J Anaesth. 2019 Oct-Dec;13(4):399-401. doi: 10.4103/sja.SJA_339_19. PMID: 31572102; PMCID: PMC6753759.
5. L May, C Hillermann, S Patil, Rib fracture management, BJA Education, Volume 16, Issue 1, 2016,
6. Diwan, S., Nair, A., Adhye, B. et al. Dual erector spinae plane block for complex traumas of upper and lower limb: an opioid reduction strategy—a case series. Ain-Shams J Anesthesiol 15, 81 (2023). https://doi.org/10.1186/s42077-023-00380-0
7. Diwan, Sandeep; Nair, Abhijit1. Unilateral erector spinae plane block for managing acute pain arising from multiple unilateral injuries: A case report. Indian Journal of Anaesthesia 64(1):p 79-80, January 2020. | DOI: 10.4103/ija.IJA_609_19
8. Periosteal Infusion of Local Anesthetics as an Alternative to Bilateral Subpectoral Interfascial Plane Catheters in Patients with Sternal Fractures, Regional Anesthesia &amp; Pain Medicine. Paul, Barry. 2017/05/01.
9. Rashmi Syal, Sadik Mohammed, Rakesh Kumar, Nidhi Jain, Pradeep Bhatia, Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study, Brazilian Journal of Anesthesiology (English Edition), Volume 74, Issue 1, 2024.

How to Cite this Article: PM Navveen, Diwan S | Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report | International Journal of Regional Anaesthesia | July-December 2024; 5(2):23-26 | DOI: https://doi.org/10.13107/ijra.2024.v05.i02.102

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C5 Anomaly and Scalene Muscle Variation- Case Report

December 10, 2024/39 Comments/in Volume 5; Issue 2: July-December 2024/by Ijraijraadmin

Vol 5 | Issue 2 | July-December 2024 | Page 20-22 | Reshma Nath, Sandeep Diwan

DOI: https://doi.org/10.13107/ijra.2024.v05.i02.100

Open Access License: CC BY-NC 4.0

Submitted: February 19-11-2024; Reviewed: 26-11-2024; Accepted: 05-12-2024; Published: 10-12-2024

Authors: Reshma Nath [1], Sandeep Diwan [2]

Address of Correspondence

Dr. Reshma Nath
Department of Anaesthesiology, Sancheti Hospital for Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Email id: resham.vj@gmail.com

Abstract

The brachial plexus is formed by the ventral primary rami of the lower four cervical and upper thoracic nerve roots, with variable contribution from C4 (prefix) & T2 (postfix). Anatomical variations are from the roots to the cord level. A better understanding of such variations is crucial for achieving successful results in regional anaesthesia.
Keywords: Brachial plexus, Anatomical variation, Dual guidance

References

1. Patel NT, Smith HF. Clinically Relevant Anatomical Variations in the Brachial Plexus. Diagnostics (Basel). doi: 10.3390/diagnostics13050830. PMID: 36899974; PMCID: PMC10001373.2023 Feb 22;13(5):830.
2. Han, Yueyin & An, Mingjie & Zilundu, Prince & Zhuang, Zhuokai & Chen, Junyu & Jiang, Zhen & Gu, Liqiang & Yang, Jiantao & Wang, Dong & Xu, Dazheng & Zhou, Li‐Hua. (2024). Anatomical variations of the brachial plexus in adult cadavers: A descriptive study and clinical significance. Microsurgery. 44. 10.1002/micr.31182. https://www.researchgate.net/publication/380924213_Anatomical_variations_of_the_brachial_plexus_in_adult_cadavers_A_descriptive_study_and_clinical_significance
3. ATOTW 369 – Anatomical variation of the brachial plexus and its clinical implications (26th Dec 2017) Page 1-9 https://resources.wfsahq.org/atotw/anatomical-variation-of-the-brachial-plexus-and-its-clinical-implications/
4. Buch – Hansen K. Uber Varietaten des Nervus Musculocutaneous und deren Beziehungen. Anatomischer Anzeiger. 1955; 102:187-203.
5. Developmental anomalies at the thoracic outlet: An analysis of 200 consecutive cases Makhoul, Raymond G. et al.Journal of Vascular Surgery, Volume 16, Issue 4, 534 – 545.

How to Cite this Article: Nath R, Diwan S | C5 Anomaly and Scalene Muscle Variation- Case Report | International Journal of Regional Anaesthesia | July-December 2024; 5(2): 20-22 | DOI: https://doi.org/10.13107/ijra.2024.v05.i02.100

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

C5 Anomaly and Scalene Muscle Variation- Case Report

Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

C5 Anomaly and Scalene Muscle Variation- Case Report

Full Sized Blog Element (Big Preview Pic)

Continuous Erector Spinae Plane Block for Unilateral Multiple Rib Fracture- A Case Report

Authors: Navveen PM [1], Sandeep Diwan [2]

(Abstract Text HTML) (Download PDF)

C5 Anomaly and Scalene Muscle Variation- Case Report

Authors: Reshma Nath [1], Sandeep Diwan [2]

(Abstract Text HTML) (Download PDF)

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