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Agrelo Lousame, Ana; Fernández Gacio, Mercedes (2015)
Publisher: Asociación Anestesia y Reanimación España (AnestesiaR)
Journal: Revista Electrónica AnestesiaR
Languages: Spanish; Castilian
Types: Article
Subjects: dolor, bloqueo interfascial pecto-intercostal, Anesthesiology, fractura esternal, ecografía, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9, RD78.3-87.3
Presentamos el caso de un paciente con fractura esternal secundaria a mieloma múltiple con cuadro de infección respiratoria alta concomitante. El dolor en la zona de fractura que el paciente presentaba limitaba su capacidad para toser y respirar profundamente. El método ideal para el manejo del dolor en esta situación es aquel, que de una forma simple, nos permita una completa analgesia, respiración profunda y tos eficaz así como la colaboración del paciente con los ejercicios de fisioterapia. En ese sentido la aplicación del bloqueo interfascial pecto-intercostal (PIFB) constituye una alternativa válida.

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