Optimization of Analgesia Methods in Patients with Multiple Rib Fractures

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.