Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements.
Konstantinos BachoumasAlbrice LevratAurélie Le ThuautStéphane RouleauSamuel GroyerHervé DupontPaul RoozeNathanael EisenmannTimothée TrampontJulien BohéBenjamin RieuJean-Charles ChakarianAurélie GodardLaura FredericiStephanie GélinotteAurélie JoretPascale RoquesBenoit PainvinChristophe LeroyMarcel BeneditLoic DopeuxEdouard SoumVlad BotocMuriel FartoukhMarie-Hélène HausermannToufik KamelJean MorinRoland De VaraxGaetan PlantefèveAlexandre HerblandMatthieu JabaudonThibault DuburcqChristelle SimonRussell ChabanneFrancis SchneiderFrederique GansterCedric BruelAhmed-Saïd LaggouneDelphine BregeaudBertrand SouweineJean ReignierJean Baptiste LascarrouPublished in: Annals of intensive care (2020)
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.