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Case Reports
Retrolaminar Continuous Nerve Block Catheter for Multiple Rib Fractures: A Case Report.
- Alice Seol and TsuiBan C HBCH.
- From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine; Stanford, California.
- A A Pract. 2022 Aug 1; 16 (8): e01614.
AbstractRib fractures carry high morbidity and mortality due to pain-related complications, such as hypoventilation, atelectasis, and pneumonia. Ultrasound-guided regional anesthesia is a common treatment for pain associated with rib fractures. But, due to a variety of reasons, ultrasound images can be ambiguous or unhelpful. In these instances, it is advantageous to have a tactile or landmark-based approach to treating rib fracture pain. We present a case of a continuous retrolaminar nerve block catheter placed without ultrasound guidance in a 67-year-old man with oxygen-dependent chronic obstructive pulmonary disease and a prior intrathecal pump, who presents with multiple unilateral rib fractures.Copyright © 2022 International Anesthesia Research Society.
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