{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T01:07:07Z","timestamp":1759972027974,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":130,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The anaesthetic management of multiple traumatic injuries poses numerous challenges. In this report, we present the cases of two patients with polytrauma including pneumothoraces and multiple rib fractures. The first patient, a 39\u2010year\u2010old man, presented with multiple left upper limb fractures, multiple bilateral rib fractures, bilateral pneumothoraces and fractures of multiple facial and cranial bones. The second patient, a 39\u2010year\u2010old woman, presented with right\u2010sided radial and ulnar fractures, a right\u2010sided pelvic fracture, and multiple right\u2010sided rib fractures with an associated pneumothorax. We used ultrasound\u2010guided superficial cervical plexus, interscalene and supraclavicular blocks in the first case and a combined spinal and epidural after ultrasound\u2010guided fascia iliaca and supraclavicular blocks in the second case. In both cases, the use of multiple regional techniques allowed us to avoid the risks of general anaesthesia in patients with conservatively managed pneumothoraces.<\/jats:p>","DOI":"10.1002\/anr3.12299","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T02:12:46Z","timestamp":1715393566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Regional anaesthesia for major orthopaedic trauma surgery in patients with conservatively managed pneumothoraces"],"prefix":"10.1002","volume":"12","author":[{"given":"H.","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Liver Transplant Anaesthesia Human Care Medical Charitable Trust Manipal Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0950-2949","authenticated-orcid":false,"given":"S.","family":"Gera","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Rao Tula Ram Memorial Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Sehgal","sequence":"additional","affiliation":[{"name":"Department of Liver Transplant Anaesthesia Human Care Medical Charitable Trust Manipal Hospital  New Delhi India"},{"name":"Liver Intensive Care Unit Human Care Medical Charitable Trust Manipal Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Minhas","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia NMC Royal Hospital  Dubai United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-016-1554-2"},{"key":"e_1_2_4_3_1","first-page":"315","article-title":"Blunt chest trauma","volume":"31","author":"Adegboye VO","year":"2002","journal-title":"African Journal of Medicine and Medical Sciences"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318213f727"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.2310\/8000.2013.131043"},{"key":"e_1_2_4_6_1","first-page":"374","article-title":"Combined interscalene brachial plexus and superficial cervical plexus nerve block for midshaft clavicle surgery: a case series","volume":"87","author":"Fugelli CG","year":"2019","journal-title":"Journal of the American Association of Nurse Anaesthetists"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7842128"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0b013e3182030648"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000133"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41038-015-0011-y"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2018.08.006"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-010-9435-9"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:48:14Z","timestamp":1759949294000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/anr3.12299"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12299","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"type":"print","value":"2637-3726"},{"type":"electronic","value":"2637-3726"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2024-04-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12299"}}