Ultrasound-guided erector spinae plane block versus serratus anterior plane block for analgesia and respiratory function in patients with multiple rib fractures: a large-sample, single-center, randomized, double-blind, controlled trial - Takeaways - MDSpire

Ultrasound-guided erector spinae plane block versus serratus anterior plane block for analgesia and respiratory function in patients with multiple rib fractures: a large-sample, single-center, randomized, double-blind, controlled trial

  • By

  • Zhiliang Tang

  • Lina Zhou

  • June 5, 2026

  • 0 min

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  • 1

    The study compared ultrasound-guided erector spinae plane block (ESPB) and serratus anterior plane block (SAPB) for pain relief in rib fracture patients.

  • 2

    ESPB provided significantly lower 24-hour pain scores and reduced opioid consumption compared to SAPB, indicating superior analgesic efficacy.

  • 3

    Both techniques improved respiratory function, but no significant differences were found between the groups in respiratory outcomes.

  • 4

    Subgroup analysis showed ESPB's analgesic superiority was more pronounced in patients with five or fewer rib fractures.

  • 5

    The study suggests ESPB as a preferred first-line regional analgesic technique for unilateral multiple rib fractures due to its efficacy and safety.

Original Source(s)

Ultrasound-guided erector spinae plane block versus serratus anterior plane block for analgesia and respiratory function in patients with multiple rib fractures: a large-sample, single-center, randomized, double-blind, controlled trial

  • by Zhiliang Tang, Lina Zhou

  • June 5, 2026

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