Medical Science
| Open Access |
DOI: Optimization of Analgesia Methods in Patients with Multiple Rib Fractures
Temur Malik Murotov , PhD, Associate Professor, Department of Anesthesiology and Resuscitation, Tashkent State Medical University, Tashkent, Uzbekistan Biloliddin Nasritdinov , Master's Student at the Department of Anesthesiology and Resuscitation, Tashkent State Medical University, Tashkent, UzbekistanAbstract
Clinical complications in patients with multiple rib fractures (MRF) are often associated with severe pain, which impairs respiratory function, increases the risk of pneumonia, and prolongs hospitalization. The main objective of this study is to optimize analgesia algorithms using multimodal approaches, regional blocks, and pain monitoring while minimizing the risk of complications. This work presents the results of a comparative analysis of the effectiveness of epidural anesthesia, paravertebral blocks, erector spinae plane (ESP) blocks, and systemic analgesia. The data demonstrate the superior efficacy of combining regional techniques with a multimodal approach in reducing pain intensity, decreasing opioid consumption, and improving respiratory function in patients.
Keywords
Multiple rib fractures, regional anesthesia, paravertebral block
References
Beard, D. J. et al. Analgesia of Patients with Multiple Rib Fractures in Critical Care (2020)
Hammal, R. et al. Pain Management for Hospitalized Patients with Rib Fractures: Systematic Review of RCTs (2023)
Peek, J. et al. Comparison of Analgesic Interventions for Traumatic Rib Fractures (2018)
Koushik, R. et al. Analgesic Techniques for Rib Fractures — Comprehensive Review (2023)
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Copyright (c) 2026 Temur Malik Murotov, Biloliddin Nasritdinov
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.