{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:25:39Z","timestamp":1790688339933,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,2,10]],"date-time":"2019-02-10T00:00:00Z","timestamp":1549756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Department of Anesthesia, University of Toronto"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. The erector spinae plane block has become the technique of choice in our institution due to its relative simplicity and purported safety. The aim of this retrospective cohort study was to determine its effectiveness in improving respiratory and analgesic outcomes. We reviewed electronic medical records of patients with traumatic rib fractures admitted to a level\u2010one trauma centre between January 2016 and July 2017, who also received erector spinae plane blocks. We analysed the following outcomes before and up to 72\u00a0h after erector spinae plane blockade: incentive spirometry volume; maximum numerical rating scale static pain scores; and 12\u2010h opioid consumption. Pre\u2010 and post\u2010block data were compared. We included 79 patients, 77% of whom received continuous erector spinae plane block for a mean (\n                    <jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>\n                    ) of 3.7 (1.9) days. The majority (85%) had other associated injuries. Incentive spirometry volumes improved from 784 (694) to 1375 (667) ml (p\u00a0&lt;\u00a00.01) during the first 24\u00a0h following erector spinae plane blockade. Pain scores were reduced from 7.7 (2.5) to 4.7 (3.2) in the first three hours (p\u00a0&lt;\u00a00.01). Reductions in opioid consumption were observed but did not achieve statistical significance. These improvements were largely sustained for up to 72\u00a0h. Mean arterial blood pressure remained unchanged from baseline. In conclusion, erector spinae plane blocks were associated with improved inspiratory capacity and analgesic outcomes following rib fracture, without haemodynamic instability. We propose that it should be considered to be a viable alternative to other regional analgesic techniques when these are not feasible.\n                  <\/jats:p>","DOI":"10.1111\/anae.14579","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T01:43:45Z","timestamp":1549849425000},"page":"585-593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":193,"title":["The effect of erector spinae plane block on respiratory and analgesic outcomes in multiple rib fractures: a retrospective cohort study"],"prefix":"10.1111","volume":"74","author":[{"given":"S. D.","family":"Adhikary","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Peri\u2010operative Medicine Penn State College of Medicine Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. M.","family":"Liu","sequence":"additional","affiliation":[{"name":"Research School of Finance The Australian National University Acton CA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Peri\u2010operative Medicine Penn State College of Medicine Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Cruz\u2010Eng","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Peri\u2010operative Medicine Penn State College of Medicine Hershey PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. J.","family":"Chin","sequence":"additional","affiliation":[{"name":"Department of Anesthesia Toronto Western Hospital University of Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/000313480807400406","article-title":"Perils of rib fractures","volume":"74","author":"Sharma OP","year":"2008","journal-title":"American 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