Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma
- 1 December 2007
- journal article
- review article
- Published by BMJ in Emergency Medicine Journal
- Vol. 24 (12), 848-849
- https://doi.org/10.1136/emj.2007.054999
Abstract
A short cut review was carried out to establish whether an epidural infusion provided any advantage over intravenous analgesia in the management of blunt thoracic trauma. Only four papers presented evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are presented in table 2. The clinical bottom line is that epidural analgesia may provide better pain relief, but may not alter clinical outcomes.Keywords
This publication has 4 references indexed in Scilit:
- Epidural analgesia improves outcome after multiple rib fracturesSurgery, 2004
- Prospective, Randomized Comparison of Epidural Versus Parenteral Opioid Analgesia in Thoracic TraumaAnnals of Surgery, 1999
- Prospective Evaluation of Epidural and Intravenous Administration of Fentanyl for Pain Control and Restoration of Ventilatory Function Following Multiple Rib FracturesThe Journal of Trauma and Acute Care Surgery, 1991
- The treatment of patients with multiple rib fractures using continuous thoracic epidural narcotic infusion.1989