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    Comparison of Ultrasound-Guided Erector Spinae Plane Block With Intercostal Nerve Block For Trauma-A

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    Comparison of Ultrasound-Guided Erector Spinae Plane Block With Intercostal Nerve Block For Trauma-A

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    Far Hr
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    Comparison of Ultrasound-guided Erector Spinae Plane Block With Intercostal Nerve Block for Trauma-A

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    Comparison of Ultrasound-Guided Erector Spinae Plane Block With Intercostal Nerve Block For Trauma-A

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    Randomized Controlled Trial J Emerg Med. 2022 Oct;63(4):520-527. FULL TXT LINKS
    doi: 10.1016/j.jemermed.2022.09.018.

    COMPARISON OF ULTRASOUND-GUIDED ERECTOR


    ACTIONS
    SPINAE PLANE BLOCK WITH INTERCOSTAL NERVE
    Cite
    BLOCK FOR TRAUMA-ASSOCIATED CHEST WALL
    PAIN Collections

    Ehsan Armin  1 , Mitra Movahedi  1 , Mohammad Javad Najafzadeh  1 , Amin Honarmand  1 , 


    Mohammad Rezaei Zadeh Rukerd  2 , Amirhossein Mirafzal  1
    SHAR
    Affiliations expand
    PMID: 36462798 DOI: 10.1016/j.jemermed.2022.09.018

    Abstract PAG NAVIGATION

    Background: Pain associated with chest wall trauma is a major issue in the emergency department
    Title & authors
    (ED). However, it may be challenging to select among the various analgesic procedures.

    Objective: Our aim was to compare single-shot erector spinae plane block (ESPB) with intercostal Abstract
    nerve block (ICNB) under ultrasound guidance for pain management in thoracic trauma.
    Similar articles
    Methods: This study was a randomized nonblinded clinical trial performed in a level I urban trauma
    center. A convenience sample of patients with isolated chest wall trauma and initial Numeric Rating
    Publication types
    Scale pain scores (NRS 0) > 5 were included. Exclusion criteria were large pain area, surgical
    interventions, discharged from the ED, and presence of contraindications to lidocaine. Pain scores
    MeSH terms
    at 20 min and 60 min (NRS 20 and 60) and at disposition (disp) were recorded.

    Results: Twenty-seven patients in the ESPB and 23 in the ICNB groups were enrolled. Mean values Associated data
    of NRS 0, 20, 60, and disp for the ESPB vs. ICNB groups were 8.0 vs. 7.4, 5.2 vs. 6.1, 4.1 vs. 5.4, and
    4.3 vs. 5.8, respectively (p = 0.07, p = 0.04, p = 0.001, and p < 0.001, respectively). Four patients in Related information
    the ESPB and 8 patients in the ICNB groups required administration of adjunctive doses of fentanyl
    for satisfactory pain control (p = 0.09). LinkOut - more
    resources
    Conclusions: Ultrasound-guided ESPB was superior to ICNB regarding pain control during the ED
    stay period of patients with painful chest wall trauma. We recommend ESPB in the ED for pain
    control in blunt or penetrating thoracic trauma.

    Keywords: chest wall; erector spinae plane block; intercostal nerve block; pain; trauma.

    Copyright © 2022 Elsevier Inc. All rights reserved.

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    Publication types
    Randomized Controlled Trial

    MeSH terms
    Chest Pain
    Humans
    Intercostal Nerves
    Nerve Block*
    Thoracic Injuries* / complications
    Thoracic Wall*
    Ultrasonography, Interventional
    Wounds, Penetrating*

    Associated data
    IRCT/IRCT20131226015941N9

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