Acute Pain
Volume 10, Issue 1 , Pages 15-22 , March 2008

Indications and contraindications for thoracic epidural analgesia in multiply injured patients

Presented at the American Society Regional Anesthesia and Pain Medicine, 2005 (poster)

  • Eileen M. Bulger

      Affiliations

    • Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA, USA
    • Corresponding Author InformationCorresponding author at: Department of Surgery, Box 359796, Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104, USA. Tel.: +1 206 731 6448; fax: +1 206 731 3656.
    • ,
  • William T. Edwards

      Affiliations

    • Department of Anesthesiology, University of Washington, Harborview Medical Center, Seattle, WA, USA
    • ,
  • Mario de Pinto

      Affiliations

    • Department of Anesthesiology, University of Washington, Harborview Medical Center, Seattle, WA, USA
    • ,
  • Patricia Klotz

      Affiliations

    • Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA, USA
    • ,
  • Gregory J. Jurkovich

      Affiliations

    • Department of Surgery, University of Washington, Harborview Medical Center, Seattle, WA, USA

Received 21 July 2007 ,Revised 17 October 2007 ,Accepted 21 October 2007.

References 

  1. Lee RB, Morris JA, Parker RS. Presence of three or more rib fractures as an indicator of need for interhospital transfer. J Trauma. 1989;29(6):795–799discussion 799–800
  2. Lee RB, Bass SM, Morris JA, MacKenzie EJ. Three or more rib fractures as an indicator for transfer to a Level I trauma center: a population-based study. J Trauma. 1990;30(6):689–694
  3. Flagel BT, Luchette FA, Reed RL, Esposito TJ, Davis KA, Santaniello JM, et al. Half-a-dozen ribs: the breakpoint for mortality. Surgery. 2005;138(4):717–723discussion 723–715
  4. Bulger EM, Arneson MA, Mock CN, Jurkovich GJ. Rib fractures in the elderly. J Trauma. 2000;48(6):1040–1046discussion 1046–1047
  5. Bulger EM, Edwards T, Klotz P, Jurkovich GJ. Epidural analgesia improves outcome after multiple rib fractures. Surgery. 2004;136(2):426–430
  6. 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(4):443–449discussion 449–451
  7. Moon MR, Luchette FA, Gibson SW, Crews J, Sudarshan G, Hurst JM, et al. Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. Ann Surg. 1999;229(5):684–691discussion 691–682
  8. Wu CL, Jani ND, Perkins FM, Barquist E. Thoracic epidural analgesia versus intravenous patient-controlled analgesia for the treatment of rib fracture pain after motor vehicle crash. J Trauma. 1999;47(3):564–567
  9. Wisner DH. A stepwise logistic regression analysis of factors affecting morbidity and mortality after thoracic trauma: effect of epidural analgesia. J Trauma. 1990;30(7):799–804discussion 804–795
  10. Block BM, Liu SS, Rowlingson AJ, Cowan AR, Cowan JA, Wu CL. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290(18):2455–2463
  11. Horlocker TT, Wedel DJ, Benzon H, Brown DL, Enneking FK, Heit JA, et al. Regional anesthesia in the anticoagulated patient: defining the risks (the second ASRA consensus conference on neuraxial anesthesia and anticoagulation). Reg Anesth Pain Med. 2003;28(3):172–197
  12. Stenseth R, Breivik H, Grimstad J. Regional anaesthesia/analgesia in patients with bleeding disturbances or thromboprophylaxis. Norweigian Association of Anaesthesiologists NA Forum. 1994;7:23–24
  13. O’Higgins F, Tuckey JP. Thoracic epidural anaesthesia and analgesia: United Kingdom practice. Acta Anaesthesiol Scand. 2000;44(9):1087–1092
  14. Low JH. Survey of epidural analgesia management in general intensive care units in England. Acta Anaesthesiol Scand. 2002;46(7):799–805

PII: S1366-0071(07)00190-8

doi: 10.1016/j.acpain.2007.10.019

Acute Pain
Volume 10, Issue 1 , Pages 15-22 , March 2008

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