[Thoracic epidural analgesic (TEA) or controlled ventilation in the treatment of patients with multiple rib fractures (author's transl)].

Abstract

In the last seven years 283 trauma patients were treated for multiple rib fractures and/or flail chest. Primary management consisted of only morphine analgesia in 16 patients, TEA in 112 patients, and mechanical ventilation in 155 patients. The indication for mechanical ventilation was always associated injuries (cerebral contusion, para- and tetraplegia, aspiration, severe lung contusion) and not the instability of the thoracic cage.

• Authors: M Dittmann, U Steenblock, M Kränzlin, G Wolff
• Journal: Langenbecks Archiv fur Chirurgie (Langenbecks Arch Chir) Vol. 353 Issue 2 Pg. 139-42 ( 1980) ISSN: 0023-8236 [Print] Germany
• Vernacular Title: Thorakale Epiduralanalgesie (TEA) oder kontrollierte Beatmung in der Behandlung von Patienten mit Rippenserienfrakturen.
• PMID: 7218972 (Publication Type: English Abstract, Journal Article)

Chemical References

• Morphine

Topics

• Anesthesia, Epidural
• Humans
• Morphine (therapeutic use)
• Pain (drug therapy)
• Respiration
• Respiration, Artificial
• Rib Fractures (complications, therapy)