Rib Fractures and Paravertebral Catheters

This retrospective study over four years showed almost half of patients with rib fractures had ultrasound guided paravertebral catheters inserted by the fourth year. Only minor complications were reported. The conclusion was that “paravertebral catheters are a safe and effective technique for rib fracture analgesia; however, our data were insufficient to demonstrate any improvement in mortality.”

They seem clearly useful as part of an opioid free or sparing approach to rib fractures.

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