About: Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements

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About: Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements
Creator	Fartoukh, Muriel Schneider, Francis Souweine, Bertrand Bruel, Cedric Dupont, Hervé Duburcq, Thibault Kamel, Toufik Lascarrou, Jean-Baptiste Reignier, Jean Jabaudon, Matthieu Bachoumas, Konstantinos Benedit, Marcel Bohé, Julien Botoc, Vlad Bregeaud, Delphine Chabanne, Russell Chakarian, Jean-Charles De Varax, Roland Dopeux, Loic Eisenmann, Nathanael Frederici, Laura Ganster, Frederique Godard, Aurélie Groyer, Samuel Gélinotte, Stephanie Hausermann, Marie-Hélène Herbland, Alexandre Joret, Aurélie Laggoune, Ahmed-Saïd Le Thuaut, Aurélie Leroy, Christophe Levrat, Albrice Morin, Jean Painvin, Benoit Plantefève, Gaetan Rieu, Benjamin Rooze, Paul Roques, Pascale Rouleau, Stéphane Simon, Christelle Soum, Edouard Trampont, Timothée
Source	PMC
abstract	BACKGROUND: Nonintubated chest trauma patients with fractured ribs admitted to the intensive care unit (ICU) are at risk for complications and may require invasive ventilation at some point. Effective pain control is essential. We assessed whether epidural analgesia (EA) in patients with fractured ribs who were not intubated at ICU admission decreased the need for invasive mechanical ventilation (IMV). We also looked for risk factors for IMV. STUDY DESIGN AND METHODS: This retrospective, observational, multicenter study conducted in 40 ICUs in France included consecutive patients with three or more fractured ribs who were not intubated at admission between July 2013 and July 2015. RESULTS: Of the 974 study patients, 788 were included in the analysis of intubation predictors. EA was used in 130 (16.5%) patients, and 65 (8.2%) patients required IMV. Factors independently associated with IMV were chronic respiratory disease (P = 0.008), worse SAPS II (P < 0.0001), flail chest (P = 0.02), worse Injury Severity Score (P = 0.0003), higher respiratory rate at admission (P = 0.02), alcohol withdrawal syndrome (P < 0.001), and noninvasive ventilation (P = 0.04). EA was not associated with decreases in IMV requirements, median numerical rating scale pain score, or intravenous morphine requirements from day 1 to day 7. CONCLUSIONS: EA was not associated with a lower risk of IMV in chest trauma patients with at least 3 fractured ribs, moderate pain, and no intubation on admission. Further studies are needed to clarify the optimal pain control strategy in chest trauma patients admitted to the ICU, notably those with severe pain or high opioid requirements.
has issue date	2020-08-27(xsd:dateTime)
bibo:doi	10.1186/s13613-020-00733-0
has license	cc-by
sha1sum (hex)	98d6a17767123355f67760f0e84d98ee4eeed45c
schema:url	https://doi.org/10.1186/s13613-020-00733-0
resource representing a document's title	Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements
has PubMed Central identifier	PMC7450151
schema:publication	Ann Intensive Care
resource representing a document's body	covid:98d6a17767123355f67760f0e84d98ee4eeed45c#body_text
is schema:about of	named entity 'risk' named entity 'CHEST TRAUMA' named entity 'ESSENTIAL' named entity 'RISK FACTORS' named entity 'LOOKED' named entity 'FRACTURED RIBS' named entity 'BACKGROUND' named entity 'NEED FOR' covid:arg/98d6a17767123355f67760f0e84d98ee4eeed45c named entity 'point' named entity 'chest trauma' named entity 'intensive care unit' named entity 'intubated' named entity 'invasive mechanical ventilation' named entity 'intubation' named entity 'fractured ribs' named entity 'chest trauma' named entity 'ICU' named entity 'Physiology' named entity 'deep vein thrombosis' named entity 'NRS' named entity 'secretion' named entity 'IMV' named entity 'chronic respiratory disease' named entity 'ICU' named entity 'flail chest' named entity 'risk factors' named entity 'regional anesthesia' named entity 'platelets' named entity 'catheter' named entity 'alcohol abuse' named entity 'ICU' named entity 'ketamine' named entity 'IMV' named entity 'case report form' named entity 'NRS' named entity 'chronic obstructive pulmonary disease' named entity 'nosocomial pneumonia' named entity 'chest tube' named entity 'Fractured ribs' named entity 'ICU' named entity 'catheter'

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