Management and treatment of patients with fractured ribs.

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...

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

PURPOSE OF REVIEW Thoracic trauma leading to multiple fractured ribs (MFR) remains very common. Good analgesia may help to improve a patient's respiratory mechanics and to avoid intubation of the trachea for ventilatory support and therefore may dramatically alter the course of recovery. We herein review the analgesia options for patients with MFR. RECENT FINDINGS For healthy patients with on...

A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management.

OBJECTIVE A rib fracture secondary to blunt thoracic trauma is an important indicator of the severity of the trauma. In the present study we explored the morbidity and mortality rates and the management following rib fractures. METHODS Between May 1999 and May 2001, 1417 cases who presented to our clinic for thoracic trauma were reviewed retrospectively. Five hundred and forty-eight (38.7%) o...

Invited Commentary Contemporary Management of Flail Chest

Thoracic injury is currently the second leading cause of trauma-related death and rib fractures are the most common of these injuries. Flail chest, as defined by fracture of three or more ribs in two or more places, continues to be a clinically challenging problem. The underlying pulmonary contusion with subsequent inflammatory reaction and right-to-left shunting leading to hypoxia continues to...

Pain Management in Multiple Fractured Ribs; Role of Regional Analgesia

Predictors of Radiotherapy Induced Bone Injury (RIBI) after stereotactic lung radiotherapy

BACKGROUND The purpose of this study was to identify clinical and dosimetric factors associated with radiotherapy induced bone injury (RIBI) following stereotactic lung radiotherapy. METHODS Inoperable patients with early stage non-small cell lung cancer, treated with SBRT, who received 54 or 60 Gy in 3 fractions, and had a minimum of 6 months follow up were reviewed. Archived treatment plans...