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18 April 2023: Articles

Thoracic Epidural as a Rescue Analgesic in a Patient with a Continuous Erector Spinae Plane Block for Rib Fractures: A Case Report

Unusual or unexpected effect of treatment

Ian J. Coblentz C* , Brian M. Ilfeld D , John J. Finneran B

DOI: 10.12659/AJCR.938875

Am J Case Rep 2023; 24:e938875

Table 1. Pain score, and spirometry volume changes after regional anesthetic techniques.

Prior to regional blockadeErector spinae plane catheterThoracic epidural
Maximum pain score10107
Average pain score942
Spirometry volume750 mL1,000 mL1,500 mL
mL – milliliters; Pain score measured using a 0–10 numeric rating scale; pain score and spirometry volumes for the patient after various regional techniques as compared to before any intervention. Both erector spinae plane catheter, and thoracic epidural demonstrate improvement from baseline, however thoracic epidural demonstrates greater degree of improvement than erector spinae plane catheter.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923