Effect of epidural analgesia in patients with traumatic rib fractures: A systematic review and meta-analysis of randomized controlled trials

Canadian Journal of Anesthesia

Volumn 56, Issue 3, 2009, Pages 230-242

  Carrier, François M ^a   Turgeon, Alexis F ^a   Nicole, Pierre C ^a   Trépanier, Claude A ^a   Fergusson, Dean A ^b   Thauvette, Daniel ^a   Lessard, Martin R ^a  

^a LAVAL UNIVERSITY   (Canada)

^b OTTAWA HOSPITAL RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; ANESTHETIC AGENT; BUPIVACAINE; BUTORPHANOL; FENTANYL; LIDOCAINE; LOCAL ANESTHETIC AGENT; MEPIVACAINE; MORPHINE; NARCOTIC ANALGESIC AGENT; PETHIDINE;

ALLERGIC REACTION; ANALGESIA; ARTICLE; CLINICAL TRIAL; CONSCIOUSNESS DISORDER; EMERGENCY CARE; EPIDURAL ABSCESS; EPIDURAL ANESTHESIA; EPIDURAL HEMATOMA; HUMAN; HYPOTENSION; INFECTION; INTENSIVE CARE; LOCAL ANESTHESIA; META ANALYSIS; NAUSEA AND VOMITING; PAIN; PRIORITY JOURNAL; PRURITUS; RIB FRACTURE; SYSTEMATIC REVIEW; UNSPECIFIED SIDE EFFECT; URINE RETENTION;

ADULT; ANALGESIA, EPIDURAL; DATA INTERPRETATION, STATISTICAL; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; PAIN; PUBLICATION BIAS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; RIB FRACTURES; TREATMENT OUTCOME; WOUNDS AND INJURIES;

EID: 61449215919     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s12630-009-9052-7     Document Type: Article

References (46)

1. National Center for Health Statistics. National Ambulatory Medical Care Survey: 2004 Emergency Care Summary and Deaths: injuries 2002. www.cdc.gov/nchs. Accessed in December 2007.
2. DW Ziegler NN Agarwal 1994 The morbidity and mortality of rib fractures J Trauma 37 975 979
3. RB Lee SM Bass JA Morris Jr EJ MacKenzie 1990 Three or more rib fractures as an indicator for transfer to a level I trauma center: a population-based study J Trauma 30 689 694
4. Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma 2000; 48: 1040-6; discussion 1046-7.
5. Kerr-Valentic MA, Arthur M, Mullins RJ, Pearson TE, Mayberry JC. Rib fracture pain and disability: can we do better? J Trauma 2003; 54: 1058-63; discussion 1063-4.
6. Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery 2005; 138: 717-23; discussion 723-5.
7. M Sirmali H Turut S Topcu 2003 A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management Eur J Cardiothorac Surg 24 133 138
8. DS Gann MP Lilly 1983 The neuroendocrine response to multiple trauma World J Surg 7 101 118
9. CL Wu 2005
10. AN Kieninger HA Bair PJ Bendick GA Howells 2005 Epidural versus intravenous pain control in elderly patients with rib fractures Am J Surg 189 327 330
11. MK Karmakar AM Ho 2003 Acute pain management of patients with multiple fractured ribs J Trauma 54 615 625
12. Fulda GJ, Giberson F, Fagraeus L. A prospective randomized trial of nebulized morphine compared with patient-controlled analgesia morphine in the management of acute thoracic pain. J Trauma 2005; 59: 383-8; discussion 389-90.
13. JB Haenel FA Moore EE Moore A Sauaia RA Read JM Burch 1995 Extrapleural bupivacaine for amelioration of multiple rib fracture pain J Trauma 38 22 27
14. MK Karmakar LA Critchley AM Ho E Barquist 2003 Continuous thoracic paravertebral infusion of bupivacaine for pain management in patients with multiple fractured ribs Chest 123 424 431
15. DH Wisner 1990 A stepwise logistic regression analysis of factors affecting morbidity and mortality after thoracic trauma: effect of epidural analgesia J Trauma 30 799 804
16. CL Wu ND Jani FM Perkins 1999 Thoracic epidural analgesia versus intravenous patient-controlled analgesia for the treatment of rib fracture pain after motor vehicle crash J Trauma 47 564 567
17. S Liu RL Carpenter JM Neal 1995 Epidural anesthesia, analgesia. Their role in postoperative outcome Anesthesiology 82 1474 1506
18. JC Ballantyne DB Carr S de Ferranti 1998 The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials Anesth Analg 86 598 612
19. JR Rigg K Jamrozik PS Myles 2002 Master Anaesthesia Trial Study Group. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial Lancet 359 1276 1282
20. SS Liu CL Wu 2007 Effect of postoperative analgesia on major postoperative complications: a systematic update of the evidence Anesth Analg 104 689 702
21. M Nishimori JC Ballantyne JH Low 2006 Epidural pain relief versus systemic opioid-based pain relief for abdominal aortic surgery Cochrane Database Syst Rev 3 CD005059
22. V Moen N Dahlgren L Irestedt 2004 Severe neurological complications after central neuraxial blockades in Sweden 1990-1999 Anesthesiology 101 950 959
23. MF Mayall I Calder 1999 Spinal cord injury following an attempted thoracic epidural Anaesthesia 54 990 994
24. SM Tay R Lee 2001 Case report: catheter-related epidural abscess Ann Acad Med Singapore 30 62 65
25. BJ Simon J Cushman R Barraco 2005 EAST Practice Management Guidelines Work Group. Pain management guidelines for blunt thoracic trauma J Trauma 59 1256 1267
26. CH Kindler MD Seeberger SE Staender 1998 Epidural abscess complicating epidural anesthesia and analgesia. An analysis of the literature Acta Anaesthesiol Scand 42 614 620
27. O Kvalsvik PC Borchgrevink SE Gisvold 1998 Epidural abscess following continuous epidural analgesia in two traumatized patients Acta Anaesthesiol Scand 42 732 735
28. AR Jadad RA Moore D Carroll 1996 Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17 1 12
29. KF Schulz 2000 Assessing allocation concealment and blinding in randomized controlled trials: why bother? ACP J Club 132 A11 A12
30. R DerSimonian N Laird 1986 Meta-analysis in clinical trials Control Clin Trials 7 177 188
31. JP Higgins SG Thompson JJ Deeks DG Altman 2003 Measuring inconsistency in meta-analyses BMJ 327 557 560
32. CT Bolliger SF Van Eeden 1990 Treatment of multiple rib fractures. Randomized controlled trial comparing ventilatory with nonventilatory management Chest 97 943 948
33. E Gyurov S Milanov M Milanov 2004 Intrapleural versus epidural analgesia with local anesthetics in patients with thoracic trauma Critical Care 8 P245
34. RS Cicala GR Voeller T Fox TC Fabian K Kudsk EC Mangiante 1990 Epidural analgesia in thoracic trauma: effects of lumbar morphine and thoracic bupivacaine on pulmonary function Crit Care Med 18 229 231
35. EA Vagner VS Zaugol'nikov SA Plaksin VV Torbin AT Matveev 1985 Effect of peridural analgesia on blood gas composition and central hemodynamics in patients with closed trauma of the chest (Russian) Vestn Khir Im I I Grek 135 100 101
36. EJ Pierre P Martin JM Frohock 2005 Lumbar epidural morphine versus. Patient-controlled analgesia morphine in patients with multiple rib fractures Anesthesiology 103 A289
37. EM Bulger T Edwards P Klotz GJ Jurkovich 2004 Epidural analgesia improves outcome after multiple rib fractures Surgery 136 426 430
38. Moon MR, Luchette FA, Gibson SW, et al. Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. Ann Surg 1999; 229: 684-91; discussion 691-2.
39. Luchette FA, Radafshar SM, Kaiser R, Flynn W, Hassett JM. Prospective evaluation of epidural versus intrapleural catheters for analgesia in chest wall trauma. J Trauma 1994; 36: 865-9; discussion 869-70.
40. K Shinohara H Iwama Y Akama C Tase 1994 Interpleural block for patients with multiple rib fractures: comparison with epidural block J Emerg Med 12 441 446
41. S Sahin N Uckunkaya S Soyal 1993 The role of epidural continuous pain treatment on duration of intubation, ventilation and ICU stay in flail chest patients Agri Dergisi 5 18 20 (in Turkish)
42. Mackersie RC, Karagianes TG, Hoyt DB, Davis JW. Prospective evaluation of epidural and intravenous administration of fentanyl for pain control and restoration of ventilatory function following multiple rib fractures. J Trauma 1991; 31: 443-9; discussion 449-51.
43. DA Ullman JB Fortune BB Greenhouse RE Wimpy TM Kennedy 1989 The treatment of patients with multiple rib fractures using continuous thoracic epidural narcotic infusion Reg Anesth 14 43 47
44. PR Bromage JL Benumof 1998 Paraplegia following intracord injection during attempted epidural anesthesia under general anesthesia Reg Anesth Pain Med 23 104 107
45. EJ Krane BJ Dalens I Murat D Murrell 1998 The safety of epidurals placed during general anesthesia Reg Anesth Pain Med 23 433 438
46. RW Rosenquist DJ Birnbach 2003 Epidural insertion in anesthetized adults: will your patients thank you? Anesth Analg 96 1545 1546