A Retrospective Observational Study Examining the Effect of Thoracic Epidural and Patient Controlled Analgesia on Short-term Outcomes in Blunt Thoracic Trauma Injuries

Medicine
Edward James Baker, Geraldine Ann Lee

Abstract

Effective analgesia in the early stages after any major traumatic event remains pivotal to optimal trauma management. For patients with significant thoracic injuries, this is paramount to ensure ongoing efficient respiratory function. The aim of this study was to investigate the use of analgesic modes in the management of patients with a primary thoracic injury and blunt mechanism of injury. By understanding variables that influence the use of varying analgesic modes and influence the development of pulmonary complications, there should be more uniform evidence-based prescription in the future.This retrospective study considered analgesic use in patients admitted after blunt thoracic injuries at one major trauma center over a 2-year period. Pulmonary complications measured included both infective and ventilator-associated failure. Univariate and multivariate analyses were used to identify patient and injury severity characteristics and their association with respiratory complications.A total of 401 cases were reviewed and analyzed: 159 received Patient Controlled Analgesia (PCA), 32 received PCA and epidural analgesia (EA), 6 received EA alone, and 204 received interval-administered analgesia. There were no significant differen...Continue Reading

References

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Citations

Feb 8, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jesse PeekMirjam B de Jong
Nov 2, 2019·Pain Practice : the Official Journal of World Institute of Pain·Thibault MartinezJacques Duranteau
Aug 31, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jaap SchuurmansT Schepers
Aug 19, 2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Edward BakerGeraldine Lee
Apr 16, 2018·Injury·Sarah KouroucheKate Curtis

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