Psychological care in trauma patients

Mohta, Medha; Sethi, Arjun; Tyagi, Asha; Mohta, Anup

doi:10.1016/s0020-1383(02)00377-7

Cited by 66 publications

(37 citation statements)

References 51 publications

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“…But the reality that our study is not designed in randomized controlled research in order to get clearer outcomes. According to previous studies, TPVB was used successfully as a single technique for pain management in MFR patients [3,7,8].…”

Section: Discussionmentioning

confidence: 99%

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Thoracic Paravertebral Analgesia for Treatment Blunt Chest Trauma with Multiple Rib Fractures

Giang¹,

Nam²,

Trung³

et al. 2017

J Clin Trial

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Multiple rib fracture (MRF) causes severe pain that compromise respiratory mechanics. We evaluated the efficacy of thoracic paravertebral block with bupivacaine -fentanyl mixture in patients with unilateral MRF. The study was carried out on 172 blunt chest trauma patients in prospective nonrandomized case series. An initial bolus dose of 0.3 ml/kg of bupivacaine 0.25% plus fentanyl 2 μg/ml was used following by continuous infusion with 0.1 ml/kg/h of bupivacaine 0.125% plus fentanyl 2 μg/ml. Pain severity was assessed by visual analogue scale (VAS) at rest and during coughing; bedside spirometry was measured 5 times in 3 consecutive days after paravertebral block. Traffic accidents (69.1%) was major reason for blunt chest trauma; the number of ribs fracture ranged from 3-5 (76.1%) and 6-8 (23.9%). The rate of hemothorax, pneumothorax and the combination hemothorax-pneumothorax were 64.5%, 7.6% and 27.9% respectively. There was significant improvement in pain score at rest and during coughing, respiratory rate, FVC and FEV1 (p<0.05) 30 min after initial bolus dose, which were sustained during continuous thoracic paravertebral infusion 72 h (p<0.05). The rate of analgesic rescue by paracetamol infusion was 6.4%. No patient had respiratory depression or respiratory failure or signs of local anesthetic toxicity. The result shows that thoracic paravertebral analgesia with bupivacaine and fentanyl provided a good efficacy for pain management in patients with unilateral MRF.

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Section: Discussionmentioning

confidence: 99%

“…Hypotension is a common side effect with thoracic epidural block because of sympathetic bilateral block [8]. In contrast, it rarely occurs in patients with TPVB due to unilateral sympathetic blockade.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Paravertebral Analgesia for Treatment Blunt Chest Trauma with Multiple Rib Fractures

Giang¹,

Nam²,

Trung³

et al. 2017

J Clin Trial

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“…This is warranted in the management of the hand burn injured individual so that not only are the physical manifestations of the trauma managed but also the associated psychological trauma of the incident 27,28 .…”

Section: Discussionmentioning

confidence: 99%

Acute burns of the hands – physiotherapy perspective

Dunpath¹,

Chetty²,

Reyden³

2016

Afr H. Sci.

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Abstract:Background: Acute burns of the hands are complex and may impact on various aspects of a person's life. Physiotherapy rehabilitation and restoration of hand function is critical for the patient's independence and re-integration into society. Purpose: This study aimed to explore the perceptions and experiences of physiotherapists in the management of patients with their hand burn injuries. Method: Five focus groups consisting of physiotherapists and physiotherapy assistants working with burn injured patients from each of the five selected public hospitals in KwaZulu-Natal were recruited. An explorative qualitative approach was adopted. Results: Physiotherapists emphasised that the acute management of the hand was trivialised due to a primary focus on the survival of the burn sufferer. Therapists identified several factors that determined the patients' level of participation and motivation in therapy one of which was the procedural pain experienced. The role of the therapists' within the rehabilitation framework was found to be critical to their recovery however there appeared to be a breakdown in the collaboration and communication among health care professionals to the detriment of effective intervention. Conclusion: A multidisciplinary team approach is the foundation in the management of acute burn injuries and during the trajectory of the trauma care continuum.

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“…Although there is a lack of evidence for the effect on PTSD, psychological treatment may be of some help in relieving pain in patients with the trauma (Mohta et al, 2003). Rather than performing the psychological therapy alone, it may be better to combine cognitive behavioral therapy with psychoeducation (Perkes et al, 2014).…”

Section: Psychological Interventionsmentioning

confidence: 99%

Current Therapeutic Approaches in Spinal Cord Injury: Pharmacological, Rehabilitation, Cell-based, and Psychological Intervention

Lim

Choi

2017

Korean J Str Res

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The purpose of this review is to discuss current therapeutic interventions and their limitations for the optimal treatment outcomes of individuals with spinal cord injury (SCI). SCI leads to neurologic deficits and subsequent severe muscle atrophy. In clinics, despite the controversy, pharmacological therapy using methylprednisolone has widely been accepted to reduce additional neurologic deficits caused by a secondary injury such as oxidative stress and lipid peroxidation. Moreover, it facilitates the recovery process. Since the loss of locomotor function may reduce the quality of life for individuals with SCI, many pre-clinical and clinical studies have focused on the recovery of locomotor function. Various forms of locomotor training such as treadmill training, cycle training, and robotic-assisted training are currently available for individuals with SCI. Additionally the cell-based interventions have been receiving much attention as one of potential therapeutic interventions which required further clarifications due to the issues of safety. The physical impairment associated with spinal cord injury may cause an adverse effect on mental health. It is now recommended that combined physical and psychological interventions should be considered to maximize the efficacy of therapeutic interventions.

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Psychological care in trauma patients

Cited by 66 publications

References 51 publications

Thoracic Paravertebral Analgesia for Treatment Blunt Chest Trauma with Multiple Rib Fractures

Thoracic Paravertebral Analgesia for Treatment Blunt Chest Trauma with Multiple Rib Fractures

Acute burns of the hands – physiotherapy perspective

Current Therapeutic Approaches in Spinal Cord Injury: Pharmacological, Rehabilitation, Cell-based, and Psychological Intervention

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