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Background and Aims Located in a non-trauma centre, our department grapples with logistical hurdles in providing comprehensive care for rib fracture patients. Recognising this challenge, we endeavour to establish a consistent and dedicated anaesthetics service to optimise patient management. This study aims to evaluate the demographic profile of our patient population and assess the impact of chest wall blocks, seeking evidence to support our initiative.

Methods A random retrospective review of 30 rib fracture patients referred to our pain team between October 2023 and April 2024, identified through the pain team register, was conducted. Data encompassing demographics, medical history, and outcomes were collated. Erector Spinae or Serratus Anterior blocks were administered to 14 patients, while the others received standard treatment. Detailed results are delineated in table 1.

Results Although the two groups had comparable age and STUMBL scores, the patients who received blocks exhibited more respiratory comorbidities. Nevertheless, outcomes, inclusive of hospital stay length and ICU admissions, demonstrated parity between groups. No fatalities were recorded.

Conclusions Our analysis underscores the potential benefits of providing chest wall blocks in rib fracture patients, particularly those with concomitant respiratory comorbidities. We advocate for the establishment of a dedicated anaesthetics service, supported by our local safety protocol and ongoing training initiatives for practitioners. This strategic approach aims to refine analgesic care and enhance patient outcomes within this vulnerable demographic, aligning with our commitment to comprehensive and consistent patient-centred care.