REGIONAL ANESTHESIA: Edited by Xavier CapdevilaAssessment and management of rib fracture pain in geriatric population an ode to old ageWardhan, RichaAuthor Information Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA Correspondence to Richa Wardhan, MD, Department of Anesthesiology, Yale University 333, Cedar Street, New Haven, CT-06510, USA. Tel: +1 203 785 4488; fax: +1 203 785 6664; e-mail: [email protected] Current Opinion in Anaesthesiology: October 2013 - Volume 26 - Issue 5 - p 626-631 doi: 10.1097/01.aco.0000432516.93715.a7 Buy Metrics Abstract Purpose of review Pain management for traumatic rib fractures has been described in literature, but there is paucity of data when it comes to acute pain management in the elderly, let alone pain resulting from traumatic rib fractures. Recent findings This article focuses on challenges of assessment of pain in elderly patients and the various options available for pain management including utilization of nerve blocks. Nerve blocks are instrumental in treating rib fracture pain along with utilization of opioids and nonopioids thus formulating a multimodal approach to pain management. Summary The goal is to devise a proper pain management regimen for geriatric patients with rib fractures to decrease the morbidity and mortality associated with it. Developing institutional protocols is one step forward towards quality care for such patients. © 2013 Lippincott Williams & Wilkins, Inc.