Anesthesiology and Pain Medicine

Published by: Kowsar

A Comparison of Continuous Thoracic Epidural Analgesia with Bupivacaine Versus Bupivacaine and Dexmedetomidine for Pain Control in Patients with Multiple Rib Fractures

Dawood Agamohammdi 1 , Majid Montazer 1 , * , Maryam Hoseini 1 , Mehdi Haghdoost 1 and Haleh Farzin 1
Authors Information
1 Tabriz University of Medical Sciences, Tabriz, Iran
Article information
  • Anesthesiology and Pain Medicine: April 2018, 8 (2); e60805
  • Published Online: April 25, 2018
  • Article Type: Research Article
  • Received: January 23, 2018
  • Revised: April 3, 2018
  • Accepted: April 10, 2018
  • DOI: 10.5812/aapm.60805

To Cite: Agamohammdi D, Montazer M, Hoseini M, Haghdoost M, Farzin H. A Comparison of Continuous Thoracic Epidural Analgesia with Bupivacaine Versus Bupivacaine and Dexmedetomidine for Pain Control in Patients with Multiple Rib Fractures, Anesth Pain Med. 2018 ; 8(2):e60805. doi: 10.5812/aapm.60805.

Abstract
Copyright © 2018, Anesthesiology and Pain Medicine. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
Acknowledgements
Footnote
References
  • 1. Cacchione RN, Richardson JD, Seligson D. Painful nonunion of multiple rib fractures managed by operative stabilization. J Trauma. 2000;48(2):319-21. doi: 10.1097/00005373-200002000-00023. [PubMed: 10697096].
  • 2. Easter A. Management of patients with multiple rib fractures. Am J Crit Care. 2001;10(5):320-7. quiz 328-9. [PubMed: 11548565].
  • 3. Mohta M, Kumar P, Mohta A, Bhardwaj R, Tyagi A, Sethi AK. Experiences with chest trauma: Where do we stand today. Indian J Crit Care Med. 2006;10(1):25-8. doi: 10.4103/0972-5229.24686.
  • 4. Lardinois D, Krueger T, Dusmet M, Ghisletta N, Gugger M, Ris HB. Pulmonary function testing after operative stabilisation of the chest wall for flail chest. Eur J Cardiothorac Surg. 2001;20(3):496-501. [PubMed: 11509269].
  • 5. Karmakar MK, Ho AM. Acute pain management of patients with multiple fractured ribs. J Trauma. 2003;54(3):615-25. doi: 10.1097/01.TA.0000053197.40145.62. [PubMed: 12634549].
  • 6. Selim MF, Elnabtity AM, Hasan AM. Comparative evaluation of epidural bupivacaine - dexmedetomidine and bupivacaine -fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor. J Prenat Med. 2012;6(3):47-54. [PubMed: 23181173].
  • 7. Hwang EG, Lee Y. Effectiveness of intercostal nerve block for management of pain in rib fracture patients. J Exerc Rehabil. 2014;10(4):241-4. doi: 10.12965/jer.140137. [PubMed: 25210700].
  • 8. Yeh DD, Kutcher ME, Knudson MM, Tang JF. Epidural analgesia for blunt thoracic injury--which patients benefit most? Injury. 2012;43(10):1667-71. doi: 10.1016/j.injury.2012.05.022. [PubMed: 22704784].
  • 9. Eriksson LI. Miller's Anesthesia. 7th ed. Elsevier Health Sciences; 2009.
  • 10. Mukherjee M, Goswami A, Gupta SD, Sarbapalli D, Pal R, Kar S. Analgesia in post-thoracotomy patients: Comparison between thoracic epidural and thoracic paravertebral blocks. Anesth Essays Res. 2010;4(2):75-80. doi: 10.4103/0259-1162.73511. [PubMed: 25885234].
  • 11. Imani F. Postoperative pain management. Anesth Pain Med. 2011;1(1):6-7. doi: 10.5812/kowsar.22287523.1810. [PubMed: 25729647].
  • 12. O'Kelly E, Garry B. Continuous pain relief for multiple fractured ribs. Br J Anaesth. 1981;53(9):989-91. doi: 10.1093/bja/53.9.989. [PubMed: 7284226].
  • 13. Kafle SK. Intrathecal meperidine for elective caesarean section: a comparison with lidocaine. Can J Anaesth. 1993;40(8):718-21. doi: 10.1007/BF03009767. [PubMed: 8403155].
  • 14. Jayr C, Thomas H, Rey A, Farhat F, Lasser P, Bourgain JL. Postoperative pulmonary complications. Epidural analgesia using bupivacaine and opioids versus parenteral opioids. Anesthesiology. 1993;78(4):666-76. discussion 22A. [PubMed: 8466067].
  • 15. Kanazi GE, Aouad MT, Jabbour-Khoury SI, Al Jazzar MD, Alameddine MM, Al-Yaman R, et al. Effect of low-dose dexmedetomidine or clonidine on the characteristics of bupivacaine spinal block. Acta Anaesthesiol Scand. 2006;50(2):222-7. doi: 10.1111/j.1399-6576.2006.00919.x. [PubMed: 16430546].
  • 16. El-Hennawy AM, Abd-Elwahab AM, Abd-Elmaksoud AM, El-Ozairy HS, Boulis SR. Addition of clonidine or dexmedetomidine to bupivacaine prolongs caudal analgesia in children. Br J Anaesth. 2009;103(2):268-74. doi: 10.1093/bja/aep159. [PubMed: 19541679].
  • 17. Mahmoud AAA, Elramely MA, Elmoutaz H. Thoracic epidural analgesia versus dexmedetomidine infusion in traumatic flail chest. Pain Stud Treat. 2016;4(2):18-27. doi: 10.4236/pst.2016.42004.
  • 18. Bajwa SJ, Arora V, Kaur J, Singh A, Parmar SS. Comparative evaluation of dexmedetomidine and fentanyl for epidural analgesia in lower limb orthopedic surgeries. Saudi J Anaesth. 2011;5(4):365-70. doi: 10.4103/1658-354X.87264. [PubMed: 22144922].
  • 19. Patel VB, Wasserman R, Imani F. Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes). Anesth Pain Med. 2015;5(4). e29716. doi: 10.5812/aapm.29716. [PubMed: 26484298].
  • 20. Imani F, Entezary SR, Alebouyeh MR, Parhizgar S. The maternal and neonatal effects of adding tramadol to 2% lidocaine in epidural anesthesia for cesarean section. Anesth Pain Med. 2011;1(1):25-9. doi: 10.5812/kowsar.22287523.1271. [PubMed: 25729652].
  • 21. Venn RM, Grounds RM. Comparison between dexmedetomidine and propofol for sedation in the intensive care unit: patient and clinician perceptions. Br J Anaesth. 2001;87(5):684-90. doi: 10.1093/bja/87.5.684. [PubMed: 11878517].
  • 22. Elhakim M, Abdelhamid D, Abdelfattach H, Magdy H, Elsayed A, Elshafei M. Effect of epidural dexmedetomidine on intraoperative awareness and post-operative pain after one-lung ventilation. Acta Anaesthesiol Scand. 2010;54(6):703-9. doi: 10.1111/j.1399-6576.2009.02199.x. [PubMed: 20085547].
  • 23. Chatrath V, Attri JP, Kaur G, Khetarpal R, Bansal P. Comparative evaluation of bupivacaine alone versus bupivacaine and dexmedetomidine for spinal anesthesia in infraumbilical surgeries. Ain-Shams J Anaesthesiol. 2015;8(1):83. doi: 10.4103/1687-7934.153946.
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