Continuous pain relief for multiple fractured ribs.
نویسندگان
چکیده
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 toilette, causing atelectasis and pulmonary shunting of blood (Bendixen, HedleyWhyte and Laver, 1963). Our method was prompted by the anatomical study of Nunn and Slavin (1980) which clearly demonstrated that there is relatively little resistance to flow of liquid upwards or downwards behind the parietal pleura once the posterior intercostal membrane is pierced. We have used a single injection of bupivacaine as a method of providing analgesia for a patient with fractured ribs but with a stable thoracic cage. The extent of pain relief achieved with bupivacaine injected at one interspace and the spread of the radio-opaque liquid injected subsequently further verifies their findings clinically.
منابع مشابه
Interpleural catheter technique for perioperative pain management.
Management of pain in surgical patient is very crucial. It is more so in thoracic and upper abdominal surgery. Lots of technique and drugs have been used to control postoperative pain including thoracic epidural analgesia. We describe a case in whom Intraoperative and Postoperative pain was managed by injecting 0.5% bupivacaine 20 ml in the interpleural space through the catheter, followed by c...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 53 9 شماره
صفحات -
تاریخ انتشار 1981