| CASE REPORT |
|
| Year : 2019 | Volume
: 13
| Issue : 4 | Page : 365-367 |
|
|
Novel block and new indication: Ultrasound-guided continuous “mid-point transverse process to pleura” block in a patient with multiple rib fractures
Rashmi Syal, Rakesh Kumar, Manoj Kamal, Pradeep Bhatia
Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Correspondence Address:
Dr. Rashmi Syal
Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur - 342 005, Rajasthan
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/sja.SJA_773_18
|
|
|
To avoid the complications related to thoracic epidural and paravertebral block, we performed mid-point transverse process to pleura (MTP) block in a patient with multiple rib fractures. A patient with 2nd--5th rib fractures came with complains of severe pain and difficulty in breathing. Ultrasound (US)-guided continuous MTP block was given at T4 level and 15 ml of 0.375% ropivacaine was deposited, followed by the catheter insertion at the same level. Patient reported decreased sensation from T2--T8 dermatomes and reduced VAS scores from 9/10 to 1/10 within 20 min of block insertion. Continuous MTP block is efficacious in providing thoracic analgesia and has higher safety margin as needle is inserted further away from pleura.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
