Rib Fracture Analgesia: Comfort vs Function - Which Block Really Wins?

Rib Fracture Analgesia: Comfort vs Function - Which Block Really Wins?

From Anesthesia Updates by NYSORA

March 2, 2026 · 7 min · Season 1 · Episode 76

About this episode

This episode discusses a trial comparing paravertebral block and PEFB for rib fracture pain management, emphasizing the importance of function over pain at rest.

A new BJA trial compares paravertebral block (PVB) and PEFB for rib fracture pain. While PEFB matches early pain control, it fails in durability, leading to more rescue interventions. PVB, though more complex, better restores cough and respiratory function. The key shift: stop focusing on pain at rest and start treating for function. Where else to find us: Web- ⁠⁠⁠⁠http://www.nysora.com⁠⁠⁠⁠ Instagram- ⁠⁠⁠⁠instagram.com/nysora.inc/ ⁠⁠⁠⁠ LinkedIN- ⁠⁠⁠⁠linkedin.com/company/nysora-inc/⁠⁠⁠⁠ Facebook- ⁠⁠⁠⁠facebook.com/nysora⁠⁠⁠⁠ Twitter- ⁠⁠⁠⁠x.com/nysora⁠⁠⁠⁠ TikTok- ⁠⁠⁠⁠tiktok.com/@nysora_inc⁠⁠⁠⁠ --------------------------------------------------------- ⁠⁠⁠⁠⁠⁠ ⁠⁠#nysora⁠⁠⁠⁠ ⁠⁠⁠⁠#regionalanesthesia⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠ #anesthesia⁠⁠ Disclaimer: Medicine is an ever-changing science. As new research and clinical experience broaden, changes in treatment and drug therapy are required. The authors and publishers have checked with sources believed to be reliable in efforts to provide accurate information within the available or accepted standards of care. However, given the possibility of human error or changes in medical practice, neither the authors nor the publisher, nor any other party involved in…

People in this episode

Host: NYSORA

Topics covered

  • rib fracture analgesia
  • pain control
  • respiratory function
  • regional anesthesia
  • clinical trial

Keywords

  • rib fracture
  • analgesia
  • paravertebral block
  • PEFB
  • pain control
  • respiratory function
  • regional anesthesia

Mentioned in this episode

Organizations: NYSORA, BJA

Products: paravertebral block (PVB), PEFB

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