Patel Sagar, Tran Courtney, Stevens Sarah, Liquori Carly, Eskander Jonathan
College of the Holy Cross, Worcester, MA.
University of New England College of Osteopathic Medicine, Biddeford, ME.
Pain Med Case Rep. 2024 Apr;8(3):91-94.
The erector spinae plane block (ESPB) is an ultrasound-guided approach for acute pain management in patients with single or multiple rib fractures. The addition of a dexmedetomidine and dexamethasone (Dex-Dex) solution to an ESPB injection has been shown to provide longer-lasting pain control in rib-fracture patients. Adding a Dex-Dex adjunct to an ESPB injection diminishes the need for more invasive techniques used in longer-lasting pain management, such as ESPB catheter placements.
We present 2 cases of rib fractures, one in a 79-year-old woman and the other in an 82-year-old-man. Both patients received a single ESPB injection with Dex-Dex to provide longer-lasting pain control. After the procedure, both patients reported a significant reduction in pain and no complications to the intervention.
The successful analgesic management of both patients' conditions suggests that a single ESPB injection with Dex-Dex can be used as an alternative to traditional management techniques such as catheter placements.
竖脊肌平面阻滞（ESPB）是一种用于单根或多根肋骨骨折患者急性疼痛管理的超声引导方法。已证明在ESPB注射中添加右美托咪定和地塞米松（Dex-Dex）溶液可为肋骨骨折患者提供更持久的疼痛控制。在ESPB注射中添加Dex-Dex辅助剂可减少在更持久的疼痛管理中使用更具侵入性技术的需求，如ESPB导管置入。
我们报告2例肋骨骨折病例，1例为79岁女性，另1例为82岁男性。两名患者均接受了单次ESPB注射并添加Dex-Dex以提供更持久的疼痛控制。术后，两名患者均报告疼痛显著减轻，且干预无并发症。
两名患者病情的成功镇痛管理表明，单次ESPB注射并添加Dex-Dex可作为导管置入等传统管理技术的替代方法。
