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1
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Ashworth H, Tagg S, Anderson E. Ultrasound-guided rhomboid intercostal block (RIB) for acute scapula fracture in the emergency department. Am J Emerg Med 2024; 75:196.e5-196.e7. [PMID: 37923689 DOI: 10.1016/j.ajem.2023.10.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 10/23/2023] [Accepted: 10/24/2023] [Indexed: 11/07/2023] Open
Abstract
INTRODUCTION Proper pain in acute scapular fractures can be challenging to achieve due to their anatomy and location. While the current mainstay of treatment relies on opioids, the Rhomboid Intercostal Block (RIB) has been utilized for anesthesia to effectively treat pain for scapular fractures. However, it has not yet been utilized in the emergency department (ED). CASE REPORT In this case report, we present the first documented use of RIB to treat pain safely and effectively in a 69-year-old male with a scapula fracture following a ground-level fall in the ED. The RIB was performed under ultrasound guidance, providing precise localization and administration of the nerve block. CONCLUSION The RIB demonstrated successful pain management in the ED. Although hopeful, further research is needed to understand limitations, potential side effects, length of pain control, and overall clinical outcomes of the RIB in the ED.
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Affiliation(s)
- Henry Ashworth
- Alameda Health System, Highland Hospital, Department of Emergency Medicine, Oakland, CA, USA.
| | - Spencer Tagg
- Alameda Health System, Highland Hospital, Department of Emergency Medicine, Oakland, CA, USA
| | - Erik Anderson
- Alameda Health System, Highland Hospital, Department of Emergency Medicine, Oakland, CA, USA
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2
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Yamak Altinpulluk E, Nystad D, Valdes-Vilchesa LF, Gallucio F, Ince I, Ergonenc T, Salazar C, Fajardo Perez M. A case of successful regional anesthesia management for awake scapular fracture surgery. Minerva Anestesiol 2021; 87:1276-1277. [PMID: 34337921 DOI: 10.23736/s0375-9393.21.15813-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Ece Yamak Altinpulluk
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain - .,Consortium of Outcomes Research, Cleveland Clinic Foundation, Cleveland, OH, USA - .,Anesthesiology Department, Cerrahpsa Medical Faculty, Istanbul University Cerrahpasa, Istanbul, Turkey - .,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey -
| | - David Nystad
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Anesthesiology Department, University Hospital North Norway, Tromsø, Norway
| | - Luis F Valdes-Vilchesa
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Anesthesiology Department, Hospital Costa del Sol, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain
| | - Felice Gallucio
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Firenze, Italy
| | - Ilker Ince
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Consortium of Outcomes Research, Cleveland Clinic Foundation, Cleveland, OH, USA.,Anesthesiology Clinical Research Office, Ataturk University, Erzurum, Turkey.,Department of Anesthesiology and Reanimation, School of Medicine, Ataturk University, Erzurum, Turkey
| | - Tolga Ergonenc
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Department of Anesthesiology, Akyazi Pain and Palliative Care Center, Sakarya, Turkey.,Sakarya Education and Research Hospital, Sakarya, Turkey
| | - Carlos Salazar
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Anesthesiology Department 12 de Octubre Universitary Hospital, Madrid, España
| | - Mario Fajardo Perez
- Morphological Madrid Research Center (MoMaRC), UltraDissection Spain, EchoTraining School, Madrid, Spain.,Anesthesiology Department, Mostoles Universitary Hospital, Móstoles, Spain
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3
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Ahiskalioglu A, Kucun T, Yayik AM, Ulas AB, Ates İ. Ultrasound-Guided Transversus Thoracis Muscle Plane Block Provides Effective Postoperative Analgesia for Pediatric Open Pectus Carinatum Surgery: First Report. PAIN MEDICINE 2021; 22:1233-1235. [PMID: 32783064 DOI: 10.1093/pm/pnaa250] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Ali Ahiskalioglu
- Department of Anaesthesiology and Reanimation, Ataturk University Faculty of Medicine, Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, Turkey
| | - Tugberk Kucun
- Department of Anaesthesiology and Reanimation, Ataturk University Faculty of Medicine, Erzurum, Turkey
| | - Ahmet Murat Yayik
- Department of Anaesthesiology and Reanimation, Ataturk University Faculty of Medicine, Clinical Research, Development and Design Application and Research Center, Ataturk University, Erzurum, Turkey
| | - Ali Bilal Ulas
- Department of Thorax Surgery, Ataturk University School of Medicine, Erzurum, Turkey
| | - İrem Ates
- Department of Anaesthesiology and Reanimation, Ataturk University Faculty of Medicine, Erzurum, Turkey
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Oweidat A, Soliman LM, Hezkial J, Esa WAS. A combined erector spinae and superior trunk block for a modified Eden-Lange tendon transfer for scapular winging. J Clin Anesth 2021; 73:110332. [PMID: 33964799 DOI: 10.1016/j.jclinane.2021.110332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 04/22/2021] [Accepted: 04/25/2021] [Indexed: 10/21/2022]
Affiliation(s)
- Adeeb Oweidat
- Regional Anesthesia and Acute Pain Fellow, Department of General Anesthesia and Acute Pain Medicine, Cleveland Clinic, 9500 Euclid Ave, 44195 Cleveland, OH, United States.
| | - Loran Mounir Soliman
- Department of General Anesthesia and Acute Pain Medicine, Cleveland Clinic, 9500 Euclid Ave, 44195 Cleveland, OH, United States.
| | - Joseph Hezkial
- Anesthesia Resident, Department of General Anesthesia and Acute Pain Medicine, Cleveland Clinic, 9500 Euclid Ave, 44195 Cleveland, OH, United States.
| | - Wael Ali Sakr Esa
- Department of General Anesthesia and Acute Pain Medicine, Cleveland Clinic, 9500 Euclid Ave, 44195 Cleveland, OH, United States.
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Syal R, Vaishnavi BD, Kumar R, Kamal M. Utility of erector spinae plane block in a complex scapular resection. Indian J Anaesth 2020; 64:731-733. [PMID: 32934416 PMCID: PMC7457995 DOI: 10.4103/ija.ija_326_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 04/26/2020] [Accepted: 05/27/2020] [Indexed: 12/17/2022] Open
Affiliation(s)
- Rashmi Syal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - B D Vaishnavi
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Rakesh Kumar
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
| | - Manoj Kamal
- Department of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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