دورية أكاديمية
Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements
| العنوان: | Epidural analgesia in ICU chest trauma patients with fractured ribs: retrospective study of pain control and intubation requirements |
|---|---|
| المؤلفون: | Soum, Edouard, Botoc, Vlad, Fartoukh, Muriel, Hausermann, Marie-Helene, Kamel, Toufik, Morin, Jean, de Varax, Roland, Plantefeve, Gaetan, Herbland, Alexandre, Jabaudon, Matthieu, Duburcq, Thibault, Simon, Christelle, Chabanne, Russell, Schneider, Francis, Ganster, Frederique, Bruel, Cedric, Laggoune, Ahmed-Said, Bregeaud, Delphine, Souweine, Bertrand, Reignier, Jean, Lascarrou, Jean-Baptiste, Bachoumas, Konstantinos, Levrat, Albrice, Le Thuaut, Aurelie, Rouleau, Stephane, Groyer, Samuel, Dupont, Herve, Rooze, Paul, Eisenmann, Nathanael, Trampont, Timothee, Bohe, Julien, Rieu, Benjamin, Chakarian, Jean-Charles, Godard, Aurelie, Frederici, Laura, Gelinotte, Stephanie, Joret, Aurelie, Roques, Pascale, Painvin, Benoit, Leroy, Christophe, Benedit, Marcel, Dopeux, Loic |
| المساهمون: | CH de Saint-Malo Broussais, CHU Tenon AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Centre Hospitalier Régional d'Orléans (CHRO), Centre for Research in Epidemiology and Statistics, Conservatoire National des Arts et Métiers CNAM (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes), Centre Hospitalier Victor Dupouy, Hôpital Saint-Louis de La Rochelle (CH La Rochelle), Vanderbilt University Medical Center Nashville, Vanderbilt University Nashville, Génétique, Reproduction et Développement (GReD ), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne 2017-2020 (UCA 2017-2020 )-Centre National de la Recherche Scientifique (CNRS), CHU Clermont-Ferrand, Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille), Centre Hospitalier de Versailles André Mignot (CHV), Pôle de Médecine Périopératoire CHU Clermont-Ferrand, CHU Gabriel Montpied Clermont-Ferrand, CHU Clermont-Ferrand-CHU Clermont-Ferrand, Les Hôpitaux Universitaires de Strasbourg (HUS), Hémodynamique, Interaction Fibrose et Invasivité tumorales Hépatiques (HIFIH), Université d'Angers (UA), Service de réanimation polyvalente, Groupe Hospitalier Paris Saint-Joseph (hpsj), Medical and Surgical Intensive Care Unit, Groupe Hospitalier Paris Saint Joseph, Paris, Hôtel-Dieu de Nantes, CHU La Roche sur Yon, Centre Hospitalier Annecy-Genevois Saint-Julien-en-Genevois, Centre Hospitalier Départemental - Hôpital de La Roche-sur-Yon (CHD Vendée), Pôle Anesthésie Réanimation CHU de Toulouse, Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), CHU Amiens-Picardie, Simplification des soins chez les patients complexes - UR UPJV 7518 (SSPC), Université de Picardie Jules Verne (UPJV), Mécanismes physiopathologiques et conséquences des calcifications vasculaires - UR UPJV 7517 (MP3CV), Université de Picardie Jules Verne (UPJV)-CHU Amiens-Picardie, Thérapeutiques cliniques et expérimentales des infections (EA 3826) (EA 3826), Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), Anesthésie Réanimation chirurgicale CHU Nantes, Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes)-Hôpital Guillaume-et-René-Laennec Saint-Herblain, Centre Jean Perrin Clermont-Ferrand (UNICANCER/CJP), UNICANCER, Service des urgences CHU Limoges, CHU Limoges, Service de Réanimation Médicale Sud, Centre Hospitalier Lyon Sud CHU - HCL (CHLS), Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Centre hospitalier de Dieppe, Centre d’Investigation Clinique Tours CIC 1415 (CIC ), Centre Hospitalier Régional Universitaire de Tours (CHRU Tours)-Hôpital Bretonneau-Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou, Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de Reanimation Hôpital de Moulins Yzeure, Moulins, France, Pôle Urgences CHU Clermont-Ferrand |
| المصدر: | ISSN: 2110-5820 ; Annals of Intensive Care ; https://u-picardie.hal.science/hal-03576420Test ; Annals of Intensive Care, 2020, 10 (1), ⟨10.1186/s13613-020-00733-0⟩. |
| بيانات النشر: | HAL CCSD SpringerOpen |
| سنة النشر: | 2020 |
| المجموعة: | HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand / Université d'Auvergne) |
| مصطلحات موضوعية: | [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; 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. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-03576420; https://u-picardie.hal.science/hal-03576420Test; https://u-picardie.hal.science/hal-03576420/documentTest; https://u-picardie.hal.science/hal-03576420/file/s13613-020-00733-0.pdfTest; PUBMEDCENTRAL: PMC7450151 |
| DOI: | 10.1186/s13613-020-00733-0 |
| الإتاحة: | https://doi.org/10.1186/s13613-020-00733-0Test https://u-picardie.hal.science/hal-03576420Test https://u-picardie.hal.science/hal-03576420/documentTest https://u-picardie.hal.science/hal-03576420/file/s13613-020-00733-0.pdfTest |
| حقوق: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.D3FFE122 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13613-020-00733-0 |
|---|