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Tag Thoracic Epidural
CCC Critical Care compendium 340

Thoracic Epidural Analgesia for Chest Trauma

Rib fractures are associated with significant morbidity, especially in the elderly and especially if multiple fractures are present. Apart from being humane, optimal analgesia may help prevent respiratory deterioration

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The case. It’s 9 o’clock at night. You are asked to review a 45 year old male on the ward for uncontrolled pain. He has a history of Crohn’s disease and is 24 hours post-laparotomy for small bowel resection &…