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https://doi.org/10.20471/acc.2019.58.s1.18

Epidural Analgesia in Multipy Injured Patients with Severe Chest Trauma: Two Case Reports and Literature Review

Nina Sulen orcid.org/0000-0002-2012-8090 ; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, General Hospital Zadar, Zadar, Croatia
Tatjana Šimurina orcid.org/0000-0002-2657-5537 ; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, General Hospital Zadar, Zadar, Croatia; Department of Anesthesiology, Resuscitation, Intensive Medicine and Pain Management, Faculty of Medicine „Josip Juraj Strossmayer“ University,
Edi Karuc ; Department of Anesthesiology, Resuscitation and Intensive Care Medicine, General Hospital Zadar, Zadar, Croatia
Anela Tolić ; Department of Radiology, General Hospital Zadar, Zadar, Croatia

Abstract

Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pain relief but its use in this group of patients is burdened with complications, contraindications and technical difficulties. We present two cases in which epidural analgesia was successfully used in polytrauma patients with severe chest injuries and hypoxemic respiratory
failure, and discuss advantages, possible pitfalls and complications.

Keywords

epidural analgesia; thoracic injuries; multiple trauma; respiratory insufficiency

Hrčak ID:

224336

URI

https://hrcak.srce.hr/224336

Publication date:

1.7.2019.

Article data in other languages: croatian

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