Ultrasound- Guided Continuous Serratus Anterior Plane Block Versus Ultrasound- Guided Continuous Thoracic Paravertebral Block in Multiple Traumatic Rib Fractures.

Ultrasound- Guided Continuous Serratus Anterior Plane Block Versus Ultrasound- Guided Continuous Thoracic Paravertebral Block For Analgesia in Multiple Traumatic Rib Fractures.

The aim of this study is to compare the analgesic efficacy of ultrasound guided continuous SAP block and ultrasound guided continuous TPVB in patients with multiple traumatic rib fractures.

Inclusion Criteria:

• Patients of either gender aged between 22-65 years with unilateral traumatic multiple fracture ribs (≥ 3 fractured ribs).

Exclusion Criteria:

• • Contraindications to regional block such as patient's refusal, coagulopathy, local infection at the site of the block, known allergy to local anesthetic drugs and spinal deformity.

  • Patients suffer from severe cardiovascular disease, hepatic or renal disease and patients with history of psychiatric illness.
  • Patients had indications for mechanical ventilation on admission or during the study period.
  • Patients had indications for immediate surgery for other associated injuries.
  • Patients with hemodynamic instability.
  • Patients having spine or pelvic fracture, traumatic brain injury, altered conscious level or spinal cord injury.