Continuous Paravertebral Nerve Block for Scapula Fracture Analgesia: A Case Report

A 46-year-old man presented with severe refractory posterior shoulder pain due to a left scapular fracture sustained during a motor vehicle collision. Despite multimodal oral and intravenous analgesics, the patient’s pain remained difficult to control. A continuous paravertebral nerve block was perf...

Full description

Saved in:

Bibliographic Details
Published in:	A&A practice Vol. 14; no. 8; p. e01245
Main Authors:	Curran, Brian P., Phillips, Coti R., Swisher, Matthew W., Finneran, John J.
Format:	Journal Article
Language:	English
Published:	United States International Anesthesia Research Society 01-06-2020 Wolters Kluwer Health, Inc
Subjects:	Analgesia - methods Analgesics - administration & dosage Analgesics - therapeutic use Anesthesia, Conduction - adverse effects Case Report Combined Modality Therapy - methods Humans Male Middle Aged Nerve Block - methods Pain - drug therapy Pain Management - methods Scapula - injuries Scapula - innervation Shoulder Fractures - pathology Thoracic Vertebrae Treatment Outcome
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	A 46-year-old man presented with severe refractory posterior shoulder pain due to a left scapular fracture sustained during a motor vehicle collision. Despite multimodal oral and intravenous analgesics, the patient’s pain remained difficult to control. A continuous paravertebral nerve block was performed between the second and third thoracic vertebrae resulting in excellent analgesia of the scapular pain. This case suggests that a continuous thoracic paravertebral block placed between the second and third vertebrae may be considered as part of multimodal analgesia in patients with scapular fractures.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2575-3126 2575-3126
DOI:	10.1213/XAA.0000000000001245