Continuous intercostal nerve blockade for rib fractures: Ready for primetime?

Journal of Trauma - Injury, Infection and Critical Care

Volumn 71, Issue 6, 2011, Pages 1548-1552

  Truitt, Michael S ^a,b   Murry, Jason ^a,b   Amos, Joseph ^a,b   Lorenzo, Manuel ^a,b   Mangram, Alicia ^a,b   Dunn, Ernest ^a,b   Moore, Ernest E ^a,b  

^a METHODIST DALLAS MEDICAL CENTER   (United States)

^b DENVER HEALTH MEDICAL CENTER   (United States)

Author keywords

Epidural; Flail chest; Nerve block; Pain control; Rib fractures

Indexed keywords

ROPIVACAINE;

ADULT; AGED; ANALGESIA; BREATHING RATE; CLINICAL ASSESSMENT; CLINICAL EFFECTIVENESS; CLINICAL EVALUATION; CLINICAL PRACTICE; CONFERENCE PAPER; CONTINUOUS INTERCOSTAL NERVE BLOCK; HUMAN; INJURY SEVERITY; INTERCOSTAL NERVE BLOCK; LENGTH OF STAY; LUNG FUNCTION; MAJOR CLINICAL STUDY; PAIN ASSESSMENT; PATIENT SAFETY; PRIORITY JOURNAL; PROSPECTIVE STUDY; RIB FRACTURE; TRAFFIC ACCIDENT;

ADULT; AGED; AGED, 80 AND OVER; AMIDES; ANESTHETICS, LOCAL; FEMALE; FLAIL CHEST; FOLLOW-UP STUDIES; HUMANS; INJURY SEVERITY SCORE; INTERCOSTAL NERVES; MALE; MIDDLE AGED; MULTIPLE TRAUMA; NERVE BLOCK; PAIN MANAGEMENT; PAIN MEASUREMENT; PROSPECTIVE STUDIES; RIB FRACTURES; THORACIC INJURIES; TIME FACTORS; TRAUMA CENTERS; TREATMENT OUTCOME; URBAN POPULATION; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 84255200156     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e31823c96e0     Document Type: Conference Paper

References (23)

1. Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures. J Trauma. 1994;37:975-979.
2. Barnea Y, Kashtan H, Shornick Y, Werbin N. Isolated rib fractures in elderly patients: mortality and morbidity. C J Surg. 2002;45:43-46. (Pubitemid 34269773)
3. Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma. 2000;48:1040-1047.
4. Carrier FM, Turgeon AF, Nicole PC, et al. Effect of epidural analgesia in patients with traumatic rib fractures: a systematic review and metaanalysis of randomized controlled trials. C J Anesth. 2009;56:230-242.
5. Kieninger AN, Bair HA, Bendick PJ, Howells GA. Epidural versus intravenous pain control in elderly patients with rib fractures. Am J Surg. 2005;189:327-330. (Pubitemid 40431956)
6. Flagel BT, Luchette FA, Reed RL, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138:717-723; discussion 723-725.
7. Karmakar MK, Ho AM. Acute pain management of patients with multiple rib fractured ribs. J Trauma. 2003;54:615-625. (Pubitemid 36383768)
8. Wheatley GH 3rd, Rosenbaum DH, Paul MC, et al. Improved pain management outcomes with continuous infusion of a local anesthetic after thoracotomy. J Thorac Cardiovasc Surg. 2005;130:464-468. (Pubitemid 41074179)
9. Cottam DR, Fisher B, Atkinson J, et al. A randomized trial of bupivicaine pain pumps to eliminate the need for patient controlled analgesia pumps in primary laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2007;17:595-600. (Pubitemid 46945416)
10. Dauri M, Fabbi E, Mariani P, et al. Continuous femoral nerve block provides superior analgesia compared with continuous intra-articular and wound infusion after anterior cruciate ligament reconstruction. Reg Anesth Pain Med. 2009;34:95-99.
11. Avery EE, Moerch ET, Benson DW. Critically crushed chests. J Thorac Cardiovasc Surg. 1956;32:291-309.
12. Nirula R, Diaz JJ Jr, Trunkey DD, Mayberry JC. Rib fracture repair: indications, technical issues, and future directions. World J Surg. 2009; 33:14-22.
13. Trinkle JK, Richardson JD, Franz JL, Grover FL, Arom KV, Holmstrom FM. Management of flail chest without mechanical ventilation. Ann Thorac Surg. 1975;19:355-363.
14. Ingalls NK, Horton ZA, Bettendorf M, Frye I, Rodriguez C. Randomized, double-blind placebo-controlled trial using lidocaine patch 5% in rib fractures. J Am Coll Surg. 2010;210:205-209.
15. Zink KA, Mayberry JC, Peck EG, Schreiber MA. Lidocaine patches reduce pain in trauma patients with rib fractures. Am Surg. 2011;77: 438-442.
16. Shanti CM, Carlin AM, Tyburski JG. Incidence of pneumothorax from intercostal nerve blocks for analgesia in rib fractures. J Trauma. 2001; 51:536-539. (Pubitemid 33009641)
17. Haenel JB, Moore FA, Moore EE, Sauaia A, Read RA, Burch JM. Extrapleural bupivacaine for amelioration of multiple rib fracture pain. J Trauma. 1995;38:22-27.
18. Simon BJ, Cushman J, Barraco R, et al. Pain management guidelines for blunt thoracic trauma. J Trauma. 2005;59:1256-1267. (Pubitemid 43060995)
19. U.S. Department of Health and Human Services. FDA Public Health Advisory; 1997. Available at: www.fda.gov/medwatch/safety/1997/ antico.htm. Accessed June 2, 2011.
20. Liu Z, Gao F, Tian Y. Effects of morphine, fentanyl, and toradol on human immune response. J Huazhong Univ Sci Technolog Med Sci. 2006;26:478-481.
21. Osler T, Hales K, Baack B, et al. Trauma in the elderly. Am J Surg. 1998;156:537-543.
22. Palvanen M, Kannus P, Niemi S, Pakkari J, Vuori I. Epidemiology of minimal trauma rib fractures in the elderly. Calcif Tissue Int. 1998;62: 274-277. (Pubitemid 28127942)
23. Bergeron E, Lavole A, Clas D, et al. Elderly trauma patients with rib fractures are at a greater risk of death and pneumonia. J Trauma. 2003;54:478-485. (Pubitemid 36383744)