THE EFFECT OF INTERPLEURAL BLOCK WITH PETHIDINE ON PAIN INTENSITY IN RIB FRACTURES

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AMINI SH.; ROUDBARI M.; ZIAEIAN B.

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Title

THE EFFECT OF INTERPLEURAL BLOCK WITH PETHIDINE ON PAIN INTENSITY IN RIB FRACTURES

Author(s)

AMINI SH. | ROUDBARI M. | ZIAEIAN B. | Issue Writer Certificate

Keywords

PAINQ4

INTERPLEURAL BLOCKQ3

RIB FRACTUREQ4

Abstract

Rib fracture is a frequent complication of chest trauma that results in PAIN and pulmonary dysfunction.PAIN intensity and pulmonary dysfunction occasionally require respiratory support. Since RIB FRACTURE does not usually require surgical intervention, using various PAIN management methods including nerve block reduces PAIN and improves pulmonary function. In a single blind clinical trial study we studied the effect of INTERPLEURAL BLOCK on PAIN reduction in patients with RIB FRACTURE.46 patients with unilateral fracture of more than two ribs in the range of 20-50 years entered the study. The patients received 2mg/kg of pethidine after increasing the volume to 20ml. The procedures was repeated every 8 hours for 48 hours. PAIN intensity was evaluated with NRS (numeric rating scale) and morphine PCA requirement.46 patients, 26 males and 20 females, with unilateral RIB FRACTUREs were studied. The average age of the patients was 32.76 years.PAIN intensity reduced in all the patients using NRS. NRS reduced from 4.48 before block to 1.90 after block.Morphine PCA requirement were 20.21mg and 16.63mg in the first and second days, respectively.Both intercostal block with bupivacaine and INTERPLEURAL BLOCK with pethidine could reduce PAIN in RIB FRACTURE. PAIN reduction was more significant in the INTERPLEURAL BLOCK group.Considering the efficacy of INTERPLEURAL BLOCK with pethidine to reduce PAIN and to improve pulmonary function in RIB FRACTURE and less side effects of pethidine in comparison to other local anesthetics, pethidine can be used for INTERPLEURAL BLOCK instead of other local anesthetics.

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APA: Copy

AMINI, SH., ROUDBARI, M., & ZIAEIAN, B.. (2004). THE EFFECT OF INTERPLEURAL BLOCK WITH PETHIDINE ON PAIN INTENSITY IN RIB FRACTURES. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(45), 70-76. SID. https://sid.ir/paper/63280/en

Vancouver: Copy

AMINI SH., ROUDBARI M., ZIAEIAN B.. THE EFFECT OF INTERPLEURAL BLOCK WITH PETHIDINE ON PAIN INTENSITY IN RIB FRACTURES. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;25(45):70-76. Available from: https://sid.ir/paper/63280/en

IEEE: Copy

SH. AMINI, M. ROUDBARI, and B. ZIAEIAN, “THE EFFECT OF INTERPLEURAL BLOCK WITH PETHIDINE ON PAIN INTENSITY IN RIB FRACTURES,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 25, no. 45, pp. 70–76, 2004, [Online]. Available: https://sid.ir/paper/63280/en

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