Ultrasound-guided rhomboid intercostal block (RIB) for acute scapula fracture in the emergency department - 28/11/23
, Spencer Tagg, BA, Erik Anderson, MDAbstract |
Introduction |
Proper pain in acute scapular fractures can be challenging to achieve due to their anatomy and location. While the current mainstay of treatment relies on opioids, the Rhomboid Intercostal Block (RIB) has been utilized for anesthesia to effectively treat pain for scapular fractures. However, it has not yet been utilized in the emergency department (ED).
Case report |
In this case report, we present the first documented use of RIB to treat pain safely and effectively in a 69-year-old male with a scapula fracture following a ground-level fall in the ED. The RIB was performed under ultrasound guidance, providing precise localization and administration of the nerve block.
Conclusion |
The RIB demonstrated successful pain management in the ED. Although hopeful, further research is needed to understand limitations, potential side effects, length of pain control, and overall clinical outcomes of the RIB in the ED.
Le texte complet de cet article est disponible en PDF.Highlights |
• | This is the first reported case of the rhomboid intercostal block (RIB) used in the emergency department . |
• | The RIB may be a safe and effective block that can be utilized for scapular pain in the emergency department (ED). |
• | The RIB provides another solution of pain management in the ED to alleviate pain for acute scapular fractures. |
Keywords : Rhomboid intercostal block, Scapula fracture, Ultrasound-guided nerve block, Regional anesthesia, Acute pain control
Plan
Vol 75
P. 196.e5-196.e7 - janvier 2024 Retour au numéro
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