The Analgesic Efficacy of Prolonged Erector Spinae Fascial Plane Block in Patients with Multiple Rib Fractures

Objctive. To evaluate the analgesic efficacy of prolonged erector spinae fascial plane (ESFP) block in patients with multiple rib fractures. Material and methods. The study included 40 Based on anesthesia methods, were divided into 2 groups, where systemic analgesics used for pain management control group ( N =20), additional supplementation main =20). monitored severity measured by numeric rating scale (NRS) at rest during coughing, forced vital capacity (FVC), need injectable narcotic analgesics. Results. NRS measures statistically significantly superior to results: stage II — 1.5 points (IQR: 1.0–3.0) vs 3.0 3.0–4.0); III 2.0 1.0–2.0) 4.0 3.0–5.0); IV 0.8–2.2) vs. 4.5 4.0–5.0); V 1 point 0–2,0) 2.8–4.0), respectively P 0.001). Percentages predicted FVC depending patient’s gender, age, height weight as follows: 38± 8% (95%CI: 34–41); 44± 40–47); 41±10% 36–45) 49±10% 45–53). In group, following values obtained: 49±15% 42–56), 50±13% 44–57), 53±13% 47–59), 57±11% 52–63). Therefore, significant reduction came up 22%, 14%, 24% 15% stages II-V, 0.05). amounts injected day after initiation 5.0 mg 5–10) 0–5.0) 10.0 5.0–15.0) 7.5 5.0–10.0) Conclusion . improves quality analgesia