publication . Other literature type . Article . 2011 . Embargo end date: 20 Aug 2011

Comparison Thoracic Epidural and Intercostal Block to Improve Ventilation Parameters and Reduce Pain in Patients with Multiple Rib Fractures

Hashemzadeh, Shahryar; Hashemzadeh, Khosrov; Hosseinzadeh, Hamzeh; Aligholipour Maleki, Raheleh; Golzari, Samad;
Open Access English
  • Published: 01 Aug 2011
  • Publisher: Tabriz University of Medical Sciences
Introduction: Chest wall blunt trauma causes multiple rib fractures and will often be associated with significant pain and may compromise ventilator mechanics. Analgesia has great roll in rib fracture therapies, opioid are useful, but when used as sole agent may re-quire such high dose that they produce respiratory depression, especially in el-derly .the best analgesia for a severe chest wall injury is a continuous epidural infusion of local anesthetic. This provides complete analgesia allowing inspiration and coughing without of the risk of respiratory depression. Methods: sixty adult patients who with multiple rib fractures were enrolled in this study. They we...
free text keywords: 610 Medical sciences; Medicine, Research Article, Rib fractures, Thoracic epidural, Intercostals Block, Diseases of the circulatory (Cardiovascular) system, RC666-701
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