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Date Published: 11/09/2021
Abstract Views: 188
Views PDF: 143
DOI: https://doi.org/10.51298/vmj.v505i1.1011
Issue
Vol. 505 No. 1 (2021)
Section
Các bài báo
How to Cite
Anh Hải, V. ., & Việt Anh, L. . (2021). THE RESULTS OF THORACIC PARAVERTEBRAL BLOCK FOR PAIN MANAGEMENT IN PATIENTS WITH BLUNT CHEST TRAUMA. Vietnam Medical Journal, 505(1). https://doi.org/10.51298/vmj.v505i1.1011

THE RESULTS OF THORACIC PARAVERTEBRAL BLOCK FOR PAIN MANAGEMENT IN PATIENTS WITH BLUNT CHEST TRAUMA

Vũ Anh Hải1,, Lê Việt Anh1
1 Military Hospital 103, Vietnam Military Medical University

Main Article Content

Abstract

Objectives: Review indications and evaluate the analgesic effectiveness of thoracic paravertebral block in the treatment of patients with blunt chest trauma. Subjects and methods: 73 blunt chest trauma treated at the Department of Thoracic Surgery - Military Hospital 103 underwent pain relief by thoracic paravertebral block, from January 2018 to December 2020. Prospective, descriptive. Results: The mean age was 52.8±11.7 (max 92, min 27). The male/female ratio was 3.6/1. Traffic accidents were the main cause (58.9%), followed by daily-life accidents (23.3%) and occupational accidents (17.8%). The indication of pain relief by paravertebral block for patients who had fractured 3 or more ribs (100%), on the same side of the chest; 39.7% of patients had combined fractures, including: ipsilateral clavicle (26.0%), ipsilateral scapula (12.3%) and pelvis (1.4%). VAS scores at rest or coughing were recorded: T0 was 6.6±0.9 and 8.0±1.0; T1 was 5.1±0.9 and 6.7±1.0; T2 was 4.1±0.9 and 5.5±1.0; T3 was 3.2±0.9 and 4.4±1.1; T4 was 2.5±0.8 and 3.3±0.9, the decreasing trend was statistically significant (p < 0.05). The complication rate was 1.4%. Conclusion: Thoracic paravertebral block for patients with multiple rib fractures on one side of the ribcage was safe and effective, with good analgesic effect.

Article Details

Keywords

Blunt chest trauma, rib fructure, paravertebral block

References

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