학술논문
EPIDURAL ANALGESIA IN MULTIPY INJURED PATIENTS WITH SEVERE CHEST TRAUMA: TWO CASE REPORTS AND LITERATURE REVIEW
Case Report
Case Report
Document Type
Academic Journal
Author
Source
Acta Clinica Croatica. July 2019, Vol. 58 Issue S1, p118, 6 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction Severe chest injuries are responsible for 25% of all trauma deaths, and in 25% are a contributing cause of mortality. Multiply injured patients with severe chest trauma have different [...]
Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pain relief but its use in this group of patients is burdened with complications, contraindications and technical difficulties. We present two cases in which epidural analgesia was successfully used in polytrauma patients with severe chest injuries and hypoxemic respiratory failure, and discuss advantages, possible pitfalls and complications Key words: epidural analgesia, thoracic injuries, multiple trauma, respiratory insufficiency
Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pain relief but its use in this group of patients is burdened with complications, contraindications and technical difficulties. We present two cases in which epidural analgesia was successfully used in polytrauma patients with severe chest injuries and hypoxemic respiratory failure, and discuss advantages, possible pitfalls and complications Key words: epidural analgesia, thoracic injuries, multiple trauma, respiratory insufficiency