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Comparison Of Thoracic Epidural Analgesia Versus Parenteral Analgesia For Traumatic Multiple Rib Fractures, Ashraf A. Zein Eldin, Mohamed S. Abdelmotelb, Mohamed M. Abdelsabour, Moharram A. Mohamed

Menoufia Medical Journal

Objective The aim of this study was to compare between epidural analgesia and parenteral analgesia for management of traumatic multiple rib fractures. Background Chest wall trauma is most commonly seen after motor vehicle collision and accounts for 8% of all trauma admissions. It is a marker of severity and contributes to the morbidity and mortality of injured patients, with the elderly and patients with poor respiratory reserve being most vulnerable. Rib fractures are the commonest of all chest injuries and are identified in 10% of patients after trauma. Pain limits one's ability to cough and breathe deeply, resulting in sputum …