Ultrasound-Guided Serratus Plane Block and Fast-Track Tracheal Extubation in the Operating Room for Thoracic Trauma Patients

Abstract

Painful rib fractures may be a factor in trauma patients remaining intubated and being given postoperative mechanical ventilation after emergency surgery. Regional techniques could provide sufficient analgesia in these patients to enable weaning and extubation and thus prevent or minimize complications related to prolonged ventilatory support. We describe a trauma patient with multiple rib fractures requiring an emergency splenectomy for whom an ultrasound-guided serratus plane block provided good quality pain relief for his rib fractures and enabled fast-track extubation in the operating room.

Assessing the analgesic efficacy of oral epigallocatechin-3-gallate on epidural catheter analgesia in patients after surgical stabilisation of multiple rib fractures: a prospective double-blind, placebo-controlled clinical trial

“…Although such EGCG-related improvements were absent in terms of SpO 2 , the outcomes in IS volume and respiratory rate implied that EGCG could also improve recovery of MRF patients in functional aspects after SSRF. Sufficient analgesia is reported to improve respiratory mechanics, enhance functional capacity and prevent pulmonary complications (Brown & Walters 2012;Brasel et al 2017;Fusco et al 2017). In line with this notion, our results are more clinically relevant, as the primary outcome of pain score was correlated with improved pulmonary functions, thereby demonstrating a promising potential for EGCG to exert additional clinical benefits on top of conventional EPI pain management.…”

“… 2017 ; Fusco et al. 2017 ). In line with this notion, our results are more clinically relevant, as the primary outcome of pain score was correlated with improved pulmonary functions, thereby demonstrating a promising potential for EGCG to exert additional clinical benefits on top of conventional EPI pain management.…”

“…Pain, as a result of MRF, is mainly associated with decreased respiratory effort, leading to failure to clear secretions, atelectasis, and reduced vital capacity. Necessary pain management for MRF not only provides relief of symptoms, but also prevents secondary respiratory complications and decreases splinting (Fusco et al 2017).…”

“…Necessary pain management for MRF not only provides relief of symptoms, but also prevents secondary respiratory complications and decreases splinting (Fusco et al. 2017 ).…”

The Effects of Add-on Self-Care Therapy on Epidural Catheter Analgesia and Quality of Life in Patients after Surgical Stabilization of Multiple Rib Fractures

“…As a direct result of MRF, pain is primarily associated with reduced respiratory effort, causing atelectasis, di culties to clear secretions, and decreased vital capacity. Effective management of pain in MRF not only improves symptoms, but also reduces splinting and risks for secondary respiratory complications [7].…”