Case report: ultrasound-guided continuous thoracic paravertebral block for outpatient acute pain management of multilevel unilateral rib fractures

Anesth Analg. 2013 Jan;116(1):255-7. doi: 10.1213/ANE.0b013e31826f5e25. Epub 2012 Dec 7.


A 61-year-old man with multiple unilateral rib fractures (T3-T8) gained the ability to breathe deeply and to ambulate after ultrasound-guided continuous thoracic paravertebral block and was discharged home after being observed for 15 hours after the block. The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter placement. This report also discusses the management of analgesia using continuous paravertebral block in an outpatient with trauma.

Publication types

  • Case Reports

MeSH terms

  • Anesthetics, Local / administration & dosage
  • Bicycling / injuries
  • Humans
  • Lung / diagnostic imaging
  • Male
  • Middle Aged
  • Needles
  • Nerve Block / methods*
  • Outpatients
  • Pain / etiology*
  • Pain Management / methods*
  • Pain Measurement
  • Rib Fractures / complications*
  • Rib Fractures / therapy
  • Thoracic Vertebrae / diagnostic imaging*
  • Ultrasonography, Interventional / methods*


  • Anesthetics, Local