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Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma
Background: Adequate pain control is difficult to achieve in patients with multiple rib fractures (MRF). Serratus plane block (SPB) is a novel technique for alleviating rib fracture pain. Several published case reports support this hypothesis. Purpose: The purpose of this study was to evaluate the u...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684485/ https://www.ncbi.nlm.nih.gov/pubmed/31447581 http://dx.doi.org/10.2147/LRA.S207791 |
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author | Hernandez, Nadia de Haan, Johanna Clendeninn, Dallis Meyer, David E Ghebremichael, Semhar Artime, Carlos Williams, George Eltzschig, Holger Sen, Sudipta |
author_facet | Hernandez, Nadia de Haan, Johanna Clendeninn, Dallis Meyer, David E Ghebremichael, Semhar Artime, Carlos Williams, George Eltzschig, Holger Sen, Sudipta |
author_sort | Hernandez, Nadia |
collection | PubMed |
description | Background: Adequate pain control is difficult to achieve in patients with multiple rib fractures (MRF). Serratus plane block (SPB) is a novel technique for alleviating rib fracture pain. Several published case reports support this hypothesis. Purpose: The purpose of this study was to evaluate the use of SPB in MRF at our level 1 trauma center. Methods: Our hospital’s Regional Anesthesia Registry was queried for all trauma patients with MRF who underwent SPB between August 2014 and January 2018. Data were compared in each patient as a matched pair for the time periods before and after undergoing SPB. Thirty-four patients with similar baseline characteristics were enrolled. Results: The median number of rib fractures was 7. Ordinal pain scores were found to be improved 4 hrs after SPB from median 7/10 to 3/10 (P<0.001). Incentive spirometry (IS) volumes recorded 4 and 24 hrs postserratus plane block showed a median increase of 150 and 175 mL from baseline, respectively (P<0.001). IS volumes recorded at 48 hrs showed a median increase of 300 mL from baseline (P<0.001). Respiratory rate decreased from a median value of 24.5 to 16 breaths/min (P<0.001). SpO(2) was improved at 24 hrs from median 96% to 99% (P<0.001). Conclusion: SPB improves pain scores and IS volumes in MRF. Because it is not limited by patient positioning or anticoagulation and has a better safety profile, it may offer a viable alternative to neuraxial techniques. Additional studies are necessary to evaluate its efficacy compared to neuraxial techniques. |
format | Online Article Text |
id | pubmed-6684485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-66844852019-08-23 Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma Hernandez, Nadia de Haan, Johanna Clendeninn, Dallis Meyer, David E Ghebremichael, Semhar Artime, Carlos Williams, George Eltzschig, Holger Sen, Sudipta Local Reg Anesth Original Research Background: Adequate pain control is difficult to achieve in patients with multiple rib fractures (MRF). Serratus plane block (SPB) is a novel technique for alleviating rib fracture pain. Several published case reports support this hypothesis. Purpose: The purpose of this study was to evaluate the use of SPB in MRF at our level 1 trauma center. Methods: Our hospital’s Regional Anesthesia Registry was queried for all trauma patients with MRF who underwent SPB between August 2014 and January 2018. Data were compared in each patient as a matched pair for the time periods before and after undergoing SPB. Thirty-four patients with similar baseline characteristics were enrolled. Results: The median number of rib fractures was 7. Ordinal pain scores were found to be improved 4 hrs after SPB from median 7/10 to 3/10 (P<0.001). Incentive spirometry (IS) volumes recorded 4 and 24 hrs postserratus plane block showed a median increase of 150 and 175 mL from baseline, respectively (P<0.001). IS volumes recorded at 48 hrs showed a median increase of 300 mL from baseline (P<0.001). Respiratory rate decreased from a median value of 24.5 to 16 breaths/min (P<0.001). SpO(2) was improved at 24 hrs from median 96% to 99% (P<0.001). Conclusion: SPB improves pain scores and IS volumes in MRF. Because it is not limited by patient positioning or anticoagulation and has a better safety profile, it may offer a viable alternative to neuraxial techniques. Additional studies are necessary to evaluate its efficacy compared to neuraxial techniques. Dove 2019-08-02 /pmc/articles/PMC6684485/ /pubmed/31447581 http://dx.doi.org/10.2147/LRA.S207791 Text en © 2019 Hernandez et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Hernandez, Nadia de Haan, Johanna Clendeninn, Dallis Meyer, David E Ghebremichael, Semhar Artime, Carlos Williams, George Eltzschig, Holger Sen, Sudipta Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title | Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title_full | Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title_fullStr | Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title_full_unstemmed | Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title_short | Impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
title_sort | impact of serratus plane block on pain scores and incentive spirometry volumes after chest trauma |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684485/ https://www.ncbi.nlm.nih.gov/pubmed/31447581 http://dx.doi.org/10.2147/LRA.S207791 |
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