A modified paravertebral block to reduce risk of mortality in a patient with multiple rib fractures - 09/05/15
Doi : 10.1016/j.ajem.2014.10.032
Hitoshi Yoshida, MD, PhD ⁎ 
, Shinya Yaguchi, MD
, Shinya Yaguchi, MD Department of Emergency and Disaster Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan
⁎Corresponding author at: Department of Emergency and Disaster Medicine, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan. Tel.: +81 172 39 5429; fax: +81 172 39 5316.
Atsufumi Matsumoto, MD, PhD
Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan
Hiroyuki Hanada, MD, PhD
Department of Emergency and Disaster Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan
Hidetomo Niwa, MD, PhD, Masatou Kitayama, MD, PhD
Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan
Highlights |
• | Mortality of multiple rib fractures rises with increasing age or injury severity. |
• | Pain relief with standard regional blocks prevents subsequent critical pneumonia. |
• | A 79-yr-old man with routine antiplatelet medication suffered multiple injuries. |
• | Standard regional blocks was contraindicated due to coagulopathic conditions. |
• | Modified US-guided paravertebral block was done easily, safely and effectively. |
| ☆ | Funding: Supported by the Department of Emergency and Disaster Medicine and the Department of Anesthesiology, Hirosaki University Graduate School of Medicine. |
| ☆☆ | Presentations: This case was presented at the 41st Annual Meeting of Japanese Society of Intensive Care Medicine in Kyoto, Japan, February-March 2014. |
© 2014
Elsevier Inc. Tous droits réservés.
Vol 33 - N° 5
P. 735.e3-735.e4 - mai 2015 Retour au numéro
Article précédent
- Paroxysmal sympathetic hyperactivity after near-hanging
- Atsushi Fujiwara, Hitoshi Kobata
- Combined intraaortic balloon counterpulsation and extracorporeal membrane oxygenation in 2 patients with fulminant myocarditis
- Weihang Hu, Changwen Liu, Lan Chen, Wei Hu, Jun Lu, Yin Zhu, Jianrong Wang, Bingwei Liu
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?