The Efficacy of Patient Controlled Thoracic Epidural Analgesia for the Treatment of Rib Fracture Pain İn Intensive Çare Unit Yoğun Bakimda Kot Kiriklarinin Ağrisinin Tedavi̇si̇nda Hasta Kontrollü Torakal Epi̇dural Analjezi̇ni̇n Etki̇nli̇ği̇ (original) (raw)

2003

Abstract

SUMMARY Pain from rib fractures may affect cardiopulmonary functions. The aim of this study is to evaluate the efficacy of patient controlled thoracic epidural analgesia (PCTEA) for pain relief in chest trauma patients. Ten patients were included. Heart rate, mean arterial pressure, pain scores by Visual Analogue Scale (VAS) at rest, cough and movement, respiratory rate, PaO2 and vital capacity (VC) were measured behre and after PCTEA. The patients were monitored for 72 h during analgesic treatment. After the placement of the epidural catheter, a PCA pump was used for PCTEA. 10 mL of 0,125% bupivacaine plus fentanyl citrate (2 jj,g/mL) was delivered as a loading dose and the same analgesic mixture was used for the maintenance at the foilowing dosages: basal infusion rate 5 mL/hr, PCA bolus dose 10 mL and lockout time 30 min. VAS scores were recorded at 4-hour intervals, VC and PaO2 was measured before PCTEA and at predetermined intervals.

abdurrahim derbent hasn't uploaded this paper.

Let abdurrahim know you want this paper to be uploaded.

Ask for this paper to be uploaded.