Rib fractures cause significant impairment of respiratory function and are often accompanied by severe pain. Two studies add to our knowledge.
The first used ultrasound guided paravertebral block. While they couldn’t definitely prove any mortality benefit, they found it safe, effective and with low complication rate.
The second used potentially easier Erector Spinae plane blocks, which were associated with improved inspiratory capacity and analgesic outcomes following rib fracture, without haemodynamic instability. Opioid consumption was not reduced however.