Research Article
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Year 2023, Volume: 13 Issue: 2, 125 - 128, 25.08.2023

Abstract

References

  • 1.Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717–23.
  • 2. Kim M, Moore JE. Chest Trauma. Current recommendations for rib fractures, pneumothorax, and other injuries. Curr Anesthesiol Rep. 2020;10(1):61–8.
  • 3. He Z, Zhang D, Xiao H, Zhu Q, Xuan Y, Su K, et al. The ideal methods for the management of rib fractures. J Thorac Dis. 2019;11(8):1078–89.
  • 4. Ventafridda V, Saita L, Ripamonti C, De Conno F. WHO guidelines for the use of analgesics in cancer pain. Int J Tissue React. 1985;7(1):93–6.
  • 5. Nair A, Diwan S. Efficacy of ultrasound-guided serratus anterior plane block for managing pain due to multiple rib fractures: a scoping review. Cureus. 2022;14(1):e21322.
  • 6. Hwang EG, Lee Y. Effectiveness of intercostal nerve block for management of pain in rib fracture patients. J Exerc Rehabil. 2014;10(4):241–4.
  • 7. Truitt MS, Murry J, Amos J, Lorenzo M, Mangram A, Dunn E, et al. Continuous intercostal nerve blockade for rib fractures: ready for primetime? J Trauma. 2011;71(6):1548–52.
  • 8. Yetim TD, Yetim I, Duru M. Investigation of the effect of intercostal blockade in palliation of pain in patients with rib fracture. Turk Gogus Kalp Dama. 2012;20:287–90.
  • 9. Sheets NW, Davis JW, Dirks RC, Pang AW, Kwok AM, Wolfe MM, et al. Intercostal nerve block with liposomal bupivacaine vs epidural analgesia for the treatment of traumatic rib fracture. J Am Coll Surg. 2020;231(1):150–154.
  • 10. Baxter CS, Singh A, Ajib FA, Fitzgerald BM. Intercostal nerve block. 2022 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
  • 11. Uhlich R, Kerby JD, Bosarge P, Hu P. Use of continuous intercostal nerve blockade is associated with improved outcomes in patients with multiple rib fractures. Trauma Surg Acute Care Open. 2021;6(1):e000600.

Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures

Year 2023, Volume: 13 Issue: 2, 125 - 128, 25.08.2023

Abstract

Aim: Pain palliation is the most critical content of the treatment
in traumatic rib fractures. The study aimed was to investigate the
effect of including intercostal nerve block in the treatment of rib
fractures on pain control.
Material and Method: Patients treated for traumatic rib fractures
in the thoracic surgery clinic of our center between February 2022
and June 2022 were evaluated retrospectively. The characteristics
of the patients, their visual analogue scale scores, analgesic medication needs, and hospital stay were recorded. The data of the
patients who underwent intercostal nerve blockade and those who
were treated with standard analgesic medications were compared.
Results: A total of 49 patients were included in the study. A total of 18 (36.7%) patients underwent daily intercostal nerve block.
Standard pain treatment was applied to 31 (63.3%) patients. In
the group of patients who underwent intercostal nerve blockade,
the mean pain score on the third day and the mean need for nonsteroidal anti-inflammatory medication were significantly lower.
Conclusion: In our study, the adding an intercostal nerve block
to the treatment of rib fractures provided better pain control and
reduced the need for analgesic medication.

References

  • 1.Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717–23.
  • 2. Kim M, Moore JE. Chest Trauma. Current recommendations for rib fractures, pneumothorax, and other injuries. Curr Anesthesiol Rep. 2020;10(1):61–8.
  • 3. He Z, Zhang D, Xiao H, Zhu Q, Xuan Y, Su K, et al. The ideal methods for the management of rib fractures. J Thorac Dis. 2019;11(8):1078–89.
  • 4. Ventafridda V, Saita L, Ripamonti C, De Conno F. WHO guidelines for the use of analgesics in cancer pain. Int J Tissue React. 1985;7(1):93–6.
  • 5. Nair A, Diwan S. Efficacy of ultrasound-guided serratus anterior plane block for managing pain due to multiple rib fractures: a scoping review. Cureus. 2022;14(1):e21322.
  • 6. Hwang EG, Lee Y. Effectiveness of intercostal nerve block for management of pain in rib fracture patients. J Exerc Rehabil. 2014;10(4):241–4.
  • 7. Truitt MS, Murry J, Amos J, Lorenzo M, Mangram A, Dunn E, et al. Continuous intercostal nerve blockade for rib fractures: ready for primetime? J Trauma. 2011;71(6):1548–52.
  • 8. Yetim TD, Yetim I, Duru M. Investigation of the effect of intercostal blockade in palliation of pain in patients with rib fracture. Turk Gogus Kalp Dama. 2012;20:287–90.
  • 9. Sheets NW, Davis JW, Dirks RC, Pang AW, Kwok AM, Wolfe MM, et al. Intercostal nerve block with liposomal bupivacaine vs epidural analgesia for the treatment of traumatic rib fracture. J Am Coll Surg. 2020;231(1):150–154.
  • 10. Baxter CS, Singh A, Ajib FA, Fitzgerald BM. Intercostal nerve block. 2022 May 1. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
  • 11. Uhlich R, Kerby JD, Bosarge P, Hu P. Use of continuous intercostal nerve blockade is associated with improved outcomes in patients with multiple rib fractures. Trauma Surg Acute Care Open. 2021;6(1):e000600.
There are 11 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Research Article
Authors

Güntuğ Batıhan 0000-0001-5258-2856

Early Pub Date September 15, 2023
Publication Date August 25, 2023
Published in Issue Year 2023 Volume: 13 Issue: 2

Cite

APA Batıhan, G. (2023). Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures. Kafkas Journal of Medical Sciences, 13(2), 125-128.
AMA Batıhan G. Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures. KAFKAS TIP BİL DERG. August 2023;13(2):125-128.
Chicago Batıhan, Güntuğ. “Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients With Traumatic Rib Fractures”. Kafkas Journal of Medical Sciences 13, no. 2 (August 2023): 125-28.
EndNote Batıhan G (August 1, 2023) Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures. Kafkas Journal of Medical Sciences 13 2 125–128.
IEEE G. Batıhan, “Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures”, KAFKAS TIP BİL DERG, vol. 13, no. 2, pp. 125–128, 2023.
ISNAD Batıhan, Güntuğ. “Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients With Traumatic Rib Fractures”. Kafkas Journal of Medical Sciences 13/2 (August 2023), 125-128.
JAMA Batıhan G. Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures. KAFKAS TIP BİL DERG. 2023;13:125–128.
MLA Batıhan, Güntuğ. “Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients With Traumatic Rib Fractures”. Kafkas Journal of Medical Sciences, vol. 13, no. 2, 2023, pp. 125-8.
Vancouver Batıhan G. Evaluation of the Effectiveness of Intercostal Nerve Block for Pain Management in Patients with Traumatic Rib Fractures. KAFKAS TIP BİL DERG. 2023;13(2):125-8.