Thoracic Epidural Analgesia versus Dexmedetomidine Infusion in Traumatic Flail Chest
نویسندگان
چکیده
منابع مشابه
Thoracic epidural analgesia
We read with great interest the editorial by Kamming and Davies [1] regarding the choice of thoracic epidural anaesthesia in cardiac surgery. While the authors provided an interesting analysis, we believe their conclusion regarding the 50% chance of this technique’s failure warrants further comment. Kamming and Davies reported that in two large studies [2,3] ‘epidurals have failed to achieve ad...
متن کاملFlail chest from blunt thoracic trauma.
1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...
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Despite the benefits of the laparoscopic approach to colorectal surgery patients still experience significant levels of pain postoperatively. This study aimed to compare the use of thoracic epidural vs. morphine patient controlled analgesia in the management of pain after laparoscopic colorectal surgery. A retrospective analysis of hospital records was performed for 16 patients undergoing lapar...
متن کاملSurgical stabilization of traumatic flail chest.
Since 1970 we have stabilized the ribs to correct paradoxical movement of the chest wall in chest injuries, using an original technique, in order to avoid as far as possible the need for long-term chest wall stabilization by intermittent positive pressure respiration (IPPR). The technical details of surgical stabilization are described, and the different types of stainless steel struts are show...
متن کاملThoracic Epidural and Paravertebral Analgesia
Thoracotomies are among the most painful of surgical incisions. Postoperatively, the movement of the chest with each breath increases the pain, and patients often “splint” to the point of hypercapnea or hypoxia. Substantial analgesia is required to avoid postoperative respiratory complications, but heavy opioid use blunts the respiratory drive and may itself be associated with postoperative com...
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ژورنال
عنوان ژورنال: Pain Studies and Treatment
سال: 2016
ISSN: 2329-3268,2329-3276
DOI: 10.4236/pst.2016.42004