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Medical Science OPEN ACCESS

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, Uzbekistan
tajmspr 2026
VOL. 8 / NO. 03 MARCH
VOLUME 8
ISSUE 03
YEAR 2026
PAGES 166-170

Abstract

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

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References

  1. Beard, D. J. et al. Analgesia of Patients with Multiple Rib Fractures in Critical Care (2020)
  2. Hammal, R. et al. Pain Management for Hospitalized Patients with Rib Fractures: Systematic Review of RCTs (2023)
  3. Peek, J. et al. Comparison of Analgesic Interventions for Traumatic Rib Fractures (2018)
  4. Koushik, R. et al. Analgesic Techniques for Rib Fractures — Comprehensive Review (2023)
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