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Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements.


ABSTRACT: BACKGROUND:Nonintubated chest trauma patients with fractured ribs admitted to the intensive care unit (ICU) are at risk for complications and may require invasive ventilation at some point. Effective pain control is essential. We assessed whether epidural analgesia (EA) in patients with fractured ribs who were not intubated at ICU admission decreased the need for invasive mechanical ventilation (IMV). We also looked for risk factors for IMV. STUDY DESIGN AND METHODS:This retrospective, observational, multicenter study conducted in 40 ICUs in France included consecutive patients with three or more fractured ribs who were not intubated at admission between July 2013 and July 2015. RESULTS:Of the 974 study patients, 788 were included in the analysis of intubation predictors. EA was used in 130 (16.5%) patients, and 65 (8.2%) patients required IMV. Factors independently associated with IMV were chronic respiratory disease (P?=?0.008), worse SAPS II (P?

SUBMITTER: Bachoumas K 

PROVIDER: S-EPMC7450151 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements.

Bachoumas Konstantinos K   Levrat Albrice A   Le Thuaut Aurélie A   Rouleau Stéphane S   Groyer Samuel S   Dupont Hervé H   Rooze Paul P   Eisenmann Nathanael N   Trampont Timothée T   Bohé Julien J   Rieu Benjamin B   Chakarian Jean-Charles JC   Godard Aurélie A   Frederici Laura L   Gélinotte Stephanie S   Joret Aurélie A   Roques Pascale P   Painvin Benoit B   Leroy Christophe C   Benedit Marcel M   Dopeux Loic L   Soum Edouard E   Botoc Vlad V   Fartoukh Muriel M   Hausermann Marie-Hélène MH   Kamel Toufik T   Morin Jean J   De Varax Roland R   Plantefève Gaetan G   Herbland Alexandre A   Jabaudon Matthieu M   Duburcq Thibault T   Simon Christelle C   Chabanne Russell R   Schneider Francis F   Ganster Frederique F   Bruel Cedric C   Laggoune Ahmed-Saïd AS   Bregeaud Delphine D   Souweine Bertrand B   Reignier Jean J   Lascarrou Jean-Baptiste JB  

Annals of intensive care 20200827 1


<h4>Background</h4>Nonintubated chest trauma patients with fractured ribs admitted to the intensive care unit (ICU) are at risk for complications and may require invasive ventilation at some point. Effective pain control is essential. We assessed whether epidural analgesia (EA) in patients with fractured ribs who were not intubated at ICU admission decreased the need for invasive mechanical ventilation (IMV). We also looked for risk factors for IMV.<h4>Study design and methods</h4>This retrospec  ...[more]

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