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"rib fractures", "paravertebral block", "chest trauma"

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https://www.readbyqxmd.com/read/23916516/case-scenario-thoracic-trauma
#1
REVIEW
P Michelet, S Boussen
Among trauma patients, blunt chest trauma remains a major cause of morbidity and mortality. We report the case of an 85-year old patient under new oral anticoagulant implicated in a multiple-vehicle accident. The patient presented a complex thoracic trauma involving multiple rib fractures, flail chest, hemothorax and lung contusions. All the thoracic lesions were situated at the left side. Despite the absence of neurological lesion and hemodynamic instability, the patient required the admission in our intensive care unit related to the worsening of a respiratory distress...
July 2013: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/21714843/unintended-epidural-placement-of-a-thoracic-paravertebral-catheter-in-a-patient-with-severe-chest-trauma
#2
Stephen D Lucas, Travis Higdon, André P Boezaart
OBJECTIVE: Severe pain can lead to ventilatory compromise in patients with multiple rib fractures. Regional anesthetic techniques, including continuous thoracic paravertebral and thoracic epidural blocks, can be useful in reducing this pain and subsequent morbidity due to respiratory compromise. Thoracic paravertebral block can result in significant complications. Presumed epidural spread of injected medication has been described with thoracic paravertebral block. High-quality radiographic images of an attempted placement of a thoracic paravertebral catheter in the epidural space have not been reported...
August 2011: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/12634549/acute-pain-management-of-patients-with-multiple-fractured-ribs
#3
REVIEW
Manoj K Karmakar, Anthony M-H Ho
BACKGROUND: Multiple rib fracture causes severe pain that can seriously compromise respiratory mechanics and exacerbate underlying lung injury and pre-existing respiratory disease, predisposing to respiratory failure. The cornerstone of management is early institution of effective pain relief, the subject of this review. METHODS: A MEDLINE search was conducted for the years 1966 through and up to December 2002 for human studies written in English using the keywords "rib fractures", "analgesia", "blunt chest trauma", "thoracic injury", and "nerve block"...
March 2003: Journal of Trauma
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