• Canan Gursoy, Yagmur Kuscu, and Semra Gumus Demirbilek.
• Division of Intensive Care Unit, Department of Anesthesiology and Reanimation, Mugla Sitki Koçman University Training and Research Hospital, Mugla, Turkey.
• J Coll Physicians Surg Pak. 2020 Mar 1; 30 (3): 318-320.

AbstractRib fractures are common injuries in blunt chest trauma, that cause severe thoracic pain, which limits patients' ability to cough and breathe deeply, which can lead to atelectasis and pneumonia. Various treatments for pain management of rib fractures have been described such as analgesics and regional anaesthesia. The ultrasound-guided erector spinae plane block (ESP) is a novel myofascial plane block for thoracic analgesia after thoracic or abdomen surgery. It is simple to perform the block because the key landmarks of tip of transverse processes and erector spinae muscle are easily visualised on ultrasound. This also allows to treat patients more easily in intensive care unit (ICU). We present a case that used ESP for pain management related to traumatic multiple rib fractures and prevented pulmonary complications with ESP block in ICU.

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