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원문정보
초록
영어
Controlling pain in patients with fractured ribs is essential for preventing secondary complications. Conventional medications that are adminis-tered orally or by using injections are sufficient for the treatment of most patients. However, additional aggressive pain control measures are needed for patients whose pain cannot be controlled effectively as well as for those in whom complications or a transition to chronic pain needs to be prevented. In this study, we retrospectively analyzed the medical records of patients in our hospital to identify the efficacy and characteristics of intercostal nerve block (ICNB), as a pain control method for rib fractures. Although ICNB, compared to conventional methods, showed dramatic pain reduction immediately after the proce-dure, the pain control effects decreased over time. These findings sug-gest that the use of additional pain control methods (e.g. intravenous patient-controlled analgesia and/or a fentanyl patch) is recommended for patients in who the pain level increases as the ICNB efficacy de-creases.
목차
Abstract INTRODUCTION MATERIALS AND METHODS Subjects Measurement and data index RESULTS Patients’ general characteristics Results of treatments DISCUSSION CONFLICT OF INTEREST REFERENCES
키워드
Intercostal nerve blockPain controlRib fracture
저자
Eun Gu Hwang [ Department of Thoracic and Cardiovascular Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea ]
Yunjung Lee [ Department of Computer Science and Statistics, Jeju National University, Jeju, Korea ]
Corresponding author