2019
DOI: 10.7759/cureus.4694
|View full text |Cite
|
Sign up to set email alerts
|

Choice of Analgesia in Patients with Critical Skeletal Trauma

Abstract: Introduction The adequate management of thoracic trauma requires a systematic approach including pain control, respiratory therapy, and mobility achieved by surgical fixation. Failure to achieve pain control prolongs hospital stay. There are several options for achieving analgesia including epidural catheters, intravenous narcotics, intercostal, paravertebral or interpleural blocks, oral opioids, or simply a combination of the aforementioned interventions. In this study, we aim to compare the effica… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

0
2
0
3

Year Published

2019
2019
2024
2024

Publication Types

Select...
5

Relationship

0
5

Authors

Journals

citations
Cited by 5 publications
(5 citation statements)
references
References 23 publications
0
2
0
3
Order By: Relevance
“…For intercostal blockage, we used the method defined by Moonre and Bridenbaugh, which the radiologically targeted intercostal interval was determined and local anesthetic was administered to the intercostal targeted area [10]. Multimodal analgesic treatment was started in surveillance only group [8,11]. Short Form-36 (SF-36) questionnaire was used to assess pain and quality of life [5].…”
Section: Methodsmentioning
confidence: 99%
“…For intercostal blockage, we used the method defined by Moonre and Bridenbaugh, which the radiologically targeted intercostal interval was determined and local anesthetic was administered to the intercostal targeted area [10]. Multimodal analgesic treatment was started in surveillance only group [8,11]. Short Form-36 (SF-36) questionnaire was used to assess pain and quality of life [5].…”
Section: Methodsmentioning
confidence: 99%
“…Pain is a chief complaint in major trauma patients and pain management should be a priority once airway is secured and major haemorrhage is controlled [Khosa et al 2019]. Pelvic trauma patients often present with pain in the groin, pubic area, posterior pelvis, or lower back and this can also be a red flag for injuries to other organs in the pelvic area [Cheung et al 2018].…”
Section: Insert Table 2: High Energy Pelvic Fracture Complicationsmentioning
confidence: 99%
“…Гораздо сложнее с пациентами, находящимися в бессознательном состоянии на иВЛ, с множественными переломами ребер, конечностей, повреждениями внутренних органов, оперированными по поводу этих повреждений. Активно жаловаться на боль подобные пациенты не могут, и врач только эмпирически может назначать обезболивающие препараты, ориентируясь на количество поврежденных областей и предположительную степень боли [40,49]. изменения со стороны гемодинамики (тахикардия, гипертензия), повышение уровня стрессовых гормонов (кортизол, глюкоза) не являются специфическими и могут быть замаскированы под воздействием вазопрессорных препаратов, аритмий, шока, сепсиса.…”
unclassified