Acute pain management of patients with multiple fractured ribs: a focus on regional techniques.

Pain Management in Multiple Fractured Ribs; Role of Regional Analgesia

Continuous pain relief for multiple fractured ribs.

Patients with fractured ribs admitted to an intensive care unit are in two categories: (a) multiple fractures with a flail segment; (b) one or more fractures but without a flail segment. One of the latter group is described in this report. Usually these patients are treated in a general ward and are admitted to the intensive care unit when pain prevents coughing, deep breathing and bronchial to...

Regional anesthesia for the trauma patient: improving patient outcomes

Trauma is a significant health problem and a leading cause of death in all age groups. Pain related to trauma is frequently severe, but is often undertreated in the trauma population. Opioids are widely used to treat pain in injured patients but have a broad range of undesirable effects in a multitrauma patient such as neurologic and respiratory impairment and delirium. In contrast, regional an...

Which is better to multiple rib fractures, surgical treatment or conservative treatment?

To compare the surgery and conservative treatment of multiple fractured ribs, we designed a randomized controlled trial in the single center of thoracic surgery ward. After admission condition assessment (general clinical evaluation, operation condition assessment, the digital method of pain assessment), the selected multiple fractured rib patients were told to choose surgery or conservative tr...

Effect of Panax notoginseng in patients with multiple fractured ribs and pulmonary contusions caused by the 2008 Wenchuan earthquake.

BACKGROUND The aim of this study was to investigate whether the combination of conventional treatment and Panax notoginseng (PN group) is superior to conventional treatment alone (CG group) in reducing the clinical symptoms of patients with multiple fractured ribs and pulmonary contusions. PATIENTS AND METHODS We retrospectively analyzed the medical records of patients treated for multiple fr...