Rib Fractures (Rib Fracture)

11/01/2023 - "The objective of this study was to determine if operative fixation of clavicle fractures in patients with non-operatively treated ipsilateral rib fractures is associated with a lower overall analgesic requirement and improved respiratory function. "
01/01/2022 - "We conducted this qualitative review to investigate the analgesic efficacy of US-guided SAPB in patients who sustained multiple rib fractures (MRFs). "
01/01/2022 - "This trial investigated the analgesic efficacy of acupuncture on traumatic rib fracture. "
12/01/2021 - "Evaluating IC's analgesic efficacy for rib fractures requires further study. "
05/01/2019 - "In conclusion, erector spinae plane blocks were associated with improved inspiratory capacity and analgesic outcomes following rib fracture, without haemodynamic instability. "

01/01/2016 - "Lidocaine Skin Patch (Lidopat® 5%) Is Effective in the Treatment of Traumatic Rib Fractures: A Prospective Double-Blinded and Vehicle-Controlled Study."
04/01/2015 - "A shortcut review was carried out to establish whether topical lignocaine patches (LP) are effective for rib fractures. "
01/01/2023 - "The Randomised Evaluation of early topical Lidocaine patches In Elderly patients admitted to hospital with rib Fractures (RELIEF) feasibility trial will determine whether a definitive trial is feasible. "
01/01/2023 - "The aim of this trial is to investigate uncertainties around trial design and conduct, to establish whether a definitive randomised trial of topical lidocaine patches in older patients with rib fractures is feasible. "
02/01/2010 - "Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures."

01/01/2022 - "However, the daily sum of opiates used during acute care, and the impact that additional injuries or rib fracture displacement may have on daily opiate requirement is unknown. "
01/01/2022 - "Rib fractures in blunt chest trauma: factors that influence daily patient controlled opiate use during acute care."
12/01/2011 - "We hypothesized that patients who have open reduction and internal fixation of rib fractures would experience less pain compared with controls and thus require fewer opiates. "
10/01/2022 - "In patients with acute rib fractures, regional anesthesia has the potential to reduce suffering, decrease opiate use, lower rates of in-hospital delirium, and improve pulmonary function. "
12/01/2023 - "Chest Wall Injury Society recommendation for surgical stabilization of nonunited rib fractures to decrease pain, reduce opiate use, and improve patient reported outcomes in patients with rib fracture nonunion after trauma."

09/01/2023 - "The serratus anterior plane block (SAPB) has been shown to be effective at reducing intravenous opioid use and improving pulmonary function for patients with rib fractures, but there is limited prior research about how to safely teach this procedure to emergency medicine (EM) residents. "
01/01/2020 - "However, we did not observe beneficial effects of IVL on multivariable adjusted analyses; we are conducting a randomized control trial to further evaluate IVL's opioid-sparing effects for patients with rib fractures."
10/01/2020 - "Prior opioid exposure was the strongest predictor of sustained opioid use after rib fractures, while the severity of injury did not predict the duration of use."
10/01/2020 - "Patterns and predictors of opioid prescribing and use after rib fractures."
01/01/2020 - "We hypothesized that IVL is associated with decreased inpatient opioid requirements among patients with rib fractures. "

10/01/2012 - "Titanium devices (clips and bars; screws and plates) are effective and safe for repair of rib fractures and large chest wall defect reconstruction with minimal complications and good long-term results."
09/01/2010 - "The purpose of this study is to assess the usefulness of titanium rib bars and clips in stabilising rib fractures. "
01/01/1989 - "Rib fracture healing after osteosynthesis with wire mesh titanium and screws: a histological study in sheep."
06/01/2023 - "Background: Surgical stabilization of rib fractures (SSRF) and surgical stabilization of sternal fractures (SSSF) involves open reduction and internal fixation of fractures with an implantable titanium plate to restore and maintain anatomic alignment. "
10/25/2022 - "Prefabricated rib-locking titanium plates have proved to demonstrate high clinical efficacy in treating multiple rib fractures among the elderly."

02/01/1982 - "Single doses of 0.1 mg of fentanyl were given epidurally via an indwelling catheter inserted between L1/L2 or L2/L3 or, in the case of 7 patients with multiple rib fractures, between Th8/Th9. "
04/01/1991 - "Prospective evaluation of epidural and intravenous administration of fentanyl for pain control and restoration of ventilatory function following multiple rib fractures."
11/01/1987 - "The safety and effectiveness of continuous epidural fentanyl analgesia (CEFA) in the treatment of blunt chest injury was evaluated by reviewing its use in 40 patients with multiple rib fractures or flail chest. "
07/01/2021 - "A retrospective study comparing analgesic efficacy of ultrasound-guided serratus anterior plane block versus intravenous fentanyl infusion in patients with multiple rib fractures."
04/01/1991 - "To evaluate the efficacy of opiate administration regimens, 32 patients with multiple rib fractures were prospectively randomized to receive either continuous epidural (ED) or continuous intravenous (IV) infusions of fentanyl. "

09/01/2016 - "Concurrent rib fracture (OR, 5.668; P<.001), smoking (OR, 3.095; P=.013), unemployment (OR, 5.429; P<.0005), and long bone or spine fracture (OR, 6.761; P<.001) were predictors of narcotic use. "
01/01/1989 - "The treatment of patients with multiple rib fractures using continuous thoracic epidural narcotic infusion."
03/01/2018 - "Although no patients required hospitalization, those with rib fractures were more likely to receive narcotic analgesia."
03/01/2018 - "Patients with rib fractures received narcotic analgesia in 47.2% of the cases, significantly more than those without rib fractures (21.3%, p < 0.05). "
11/01/2013 - "IVIb therapy should be initiated in patients with traumatic rib fractures to improve patient comfort and reduce narcotic requirement. "

08/01/2020 - "The purpose of this study was to determine if oral Per os (PO) acetaminophen is as effective as intravenous (IV) acetaminophen in treating the pain associated with rib fractures. "
01/01/2015 - "Thus, the aim of the present study was assessing the efficacy of IV acetaminophen in pain control of patients with rib fracture. "
08/01/2020 - "Treatment With Oral Versus Intravenous Acetaminophen in Elderly Trauma Patients With Rib Fractures: A Prospective Randomized Trial."
08/01/2020 - "Oral acetaminophen should be preferentially used over IV acetaminophen when treating the elderly trauma patient with rib fractures."
08/01/2020 - "In elderly trauma patients (age ≥65 years) with 1 or more rib fractures, PO acetaminophen is equivalent to IV acetaminophen for pain control, with no difference in morbidity or mortality. "

01/01/1982 - "Late global pulmonary tests after TEA for treatment of SRF show normal results within comparable groups without rib fractures."
07/01/2023 - "ESP block may provide similar analgesia with better haemodynamic stability compared to TEA in patients with multiple traumatic rib fractures."
01/01/2018 - "Thus, we evaluated the financial implications of one mode of treatment for patients with rib fractures: thoracic epidural analgesia (TEA). "
01/01/1982 - "Thoracic epidural analgesia (TEA) may prevent ventilation in patients with serial rib fractures (SRF) without gross pulmonary parenchymal lesion. "
01/01/2020 - "This study compared the quality of analgesia provided by serratus anterior plane (SAP) catheters against thoracic epidural (TEA) or paravertebral catheters (PA) in patients with multiple traumatic rib fractures (MRFs). "

01/01/2022 - "Intercostal liposomal bupivacaine injection for rib fractures: A prospective randomized controlled trial."
02/01/2004 - "Effect of intercostal nerve block with 0.5% bupivacaine on peak expiratory flow rate and arterial oxygen saturation in rib fractures."
01/01/2022 - "Intercostal blockade through bupivacaine is more effective than chest tube administration of bupivacaine in patients with rib fractures."
01/01/2020 - "This study compares outcomes of epidural analgesia with intercostal nerve block using liposomal bupivacaine for the treatment of traumatic rib fractures. "
01/01/2022 - "Comparing the Effectiveness of Bupivacaine Administration through Chest Tube and Intercostal Blockage in Patients with Rib Fractures."

07/01/2023 - "Comparison of safety and efficacy of thoracic epidural block and erector spinae plane block for analgesia in patients with multiple rib fractures: A pilot single-blinded, randomised controlled trial."
05/01/2019 - "Regional anaesthesia is often helpful in improving respiratory function and analgesia following multiple rib fractures. "
11/01/2023 - "This study supported the hypothesis that operative clavicle fixation reduces short-term in-patient analgesia use and improves respiratory parameters in patients with ipsilateral rib fractures. "
10/05/2021 - "The present study explored the role of continuous erector spinae plane (ESP) block for analgesia as well as its impact on pulmonary functions in patients with multiple rib fractures. "
10/05/2021 - "Continuous erector spinae plane block for analgesia and better pulmonary functions in patients with multiple rib fractures: a prospective descriptive study."

01/01/2022 - "Thoracic epidural analgesia is the gold standard for bilateral rib fractures but is technically difficult, entails potentially serious complications, and necessitates patient repositioning. "
09/01/2017 - "Improved Outcomes Associated with the Liberal Use of Thoracic Epidural Analgesia in Patients with Rib Fractures."
01/01/2019 - "The aim of this study was to describe the efficacy and safety of epidural analgesia in patients with multiple traumatic rib fractures. "
01/01/2017 - "The aim of this study was to determine the effect of epidural analgesia on respiratory complications and in-hospital mortality in patients with rib fractures. "
07/01/2015 - "Epidural analgesia in patients with traumatic rib fractures: a systematic review of randomised controlled trials."

10/01/2019 - "It is a safe, efficient, and low-cost therapy that may become a new treatment for patients with stable rib fractures."
11/01/2018 - "Surgical treatment is a safe and effective therapy for multiple rib fractures. "
09/01/2022 - "The purpose of this study is to describe and evaluate use of HFNC for patients with rib fractures when therapy was standard of care on all floors of the hospital. "
12/01/2023 - "Surgical stabilization of rib fractures (SSRFs) has become an emerging therapy for treatment of patients with rib fractures. "
03/01/2023 - "Introduction Surgical stabilization of rib fractures (SSRF) is an emerging therapy for the treatment of patients with traumatic rib fractures. "

01/01/2013 - "The ultrasound guidance was helpful in determining the site of rib fractures and the optimal level for catheter placement. "
05/01/2019 - "The proportion of rib fracture patients managed with paravertebral catheters increased from 31/200 (15.5%) in the first year of study to 81/168 (48.2%) in the fourth; over this time-period the observed:predicted mortality ratio fell from 1.04 to 0.66. "
07/20/2023 - "Evaluation of the effect of erector spinae plane block catheter for traumatic rib fractures on patient experience: a quality assurance initiative."
11/01/2022 - "199 patients admitted for rib fractures, who received an ESP catheter. "
11/01/2022 - "Is erector spinae plane (ESP) catheter insertion within 24 h of hospital admission for rib fractures associated with a lower incidence of respiratory complications compared to those having an ESP within 48 h or after 48 h of admission. "

01/01/2023 - "Efficacy of peripheral nerve blocks for pain management in patients with rib fractures: A systematic review and meta-analysis."
01/01/2024 - "Pain management for hospitalized patients with rib fractures: A systematic review of randomized clinical trials."
02/01/2024 - "Comparison of Erector Spinae Plane Blocks Versus Multimodal Pain Management for Traumatic Rib Fractures: A Matched Cohort Study."
04/01/2023 - "Comprehensive Review of Current Pain Management in Rib Fractures With Practical Guidelines for Clinicians."
11/01/2022 - "Furthermore, judicious use of multimodal pain management and early identification of patients who will benefit from the surgical stabilization of rib fractures are paramount to optimal outcomes."