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

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.

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