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EPIDURAL ANALGESIA IN MULTIPY INJURED PATIENTS WITH SEVERE CHEST TRAUMA: TWO CASE REPORTS AND LITERATURE REVIEW
Nina Sulen1, Tatjana Šimurina1, Edi Karuc1
11Department of Anesthesiology, Resuscitation and Intensive Care Medicine, General Hospital Zadar, Zadar, Croatia; 2Department of Anesthesiology, Resuscitation, Intensive Medicine and Pain Management, Faculty of Medicine "Josip Juraj Strossmayer" University, Osijek, Croatia; 3Department of Health Studies, University of Zadar, Zadar, Croatia; 4Department of Radiology, General Hospital Zadar, Zadar, Croatia.
Abstract:
Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pain relief but its use in this group of patients is burdened with complications, contraindications and technical difficulties. We present two cases in which epidural analgesia was successfully used in polytrauma patients with severe chest injuries and hypoxemic respiratory failure, and discuss advantages, possible pitfalls and complications.
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