multi-modality pain control for rib fractures - SurgicalCriticalCare.net
multi-modality pain control for rib fractures - SurgicalCriticalCare.net
multi-modality pain control for rib fractures - SurgicalCriticalCare.net
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Multiple Rib Fracture Pain Management AlgorithmPatient with <strong>multi</strong>ple<strong>rib</strong> <strong>fractures</strong>Begin intravenousnarcotic PCAContraindicationto NSAID therapy?ABBREVIATIONSNSAID – non-steroidal anti-inflammatory drugPCA – patient <strong>control</strong>led anesthesiaNSAID CONTRAINDICATIONSKnown hypersensitivity to NSAIDsAsthma, urticaria, or allergic-type reactionsafter taking aspirin or NSAIDsPeri-operative use in the setting of coronaryartery bypass graftingRenal impairmentNOYESBegin intravenousNSAID therapySevere chestwall injury?YESInsert paracostalinfusion catheterTransition to oraltherapy as toleratedNONOAdequate <strong>pain</strong><strong>control</strong>?YES4 Approved 11/30/2010
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